Individual
DR. LAURIE REIDER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
102 E MAIN ST, SUITE 101, STEVENSVILLE, MD 21666-4002
(443) 262-5804
Mailing address
102 E MAIN ST, SUITE 101, STEVENSVILLE, MD 21666-4002
(443) 262-5804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
018253
NY
103T00000X
Psychologist
Primary
04904
MD
Other
Enumeration date
07/30/2008
Last updated
05/16/2011
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