Individual
SAUNDRA J LEWIS
Active
Individual
SAUNDRA J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408510-01
—
TX
05
—
0408528-01
—
TX
01
—
82760P
OLD DOMHA MCR
TX
01
—
8K3828
DOMHA MCR
TX
Enumeration date
07/27/2006
Last updated
04/28/2015
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