Organization
CLINTON A. LEWIS, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON A LEWIS PSY.D. (PRESIDENT)
(405) 340-4321
Entity
Organization
Contact information
Practice address
3855 S BOULEVARD ST STE 100, EDMOND, OK 73013-5499
(404) 340-4321
Mailing address
3855 S BOULEVARD ST STE 100, EDMOND, OK 73013-5499
(404) 340-4321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
896
OK
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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