Individual
PAMELA FAITH LEWIS
Active
Individual
PAMELA FAITH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2014
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014
PSYCHOLOGIST
WI
Enumeration date
12/11/2006
Last updated
07/08/2007
Update your record
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