Individual
MR. DAVID R. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
10706 MARLBORO AVE, BARNWELL, SC 29812-6376
(803) 259-7337
(803) 259-9505
Mailing address
10706 MARLBORO AVE, BARNWELL, SC 29812-6376
(803) 259-7337
(803) 259-9505
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3080
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC004
—
SC
Enumeration date
11/19/2010
Last updated
11/19/2010
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