Provider Demographics
NPI:1245115930
Name:LEWIS, MAIA
Entity type:Individual
Prefix:
First Name:MAIA
Middle Name:
Last Name:LEWIS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3671
Mailing Address - Country:US
Mailing Address - Phone:781-439-2178
Mailing Address - Fax:
Practice Address - Street 1:274 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3671
Practice Address - Country:US
Practice Address - Phone:781-439-2178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MASLP101187235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist