Individual
JASON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3440 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104-3325
(215) 590-7555
(215) 590-4251
Mailing address
301 LINDENWOOD DR, SUITE 350, MALVERN, PA 19355-1758
(215) 590-2897
(215) 590-0325
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
016779-1
NY
103T00000X
Psychologist
Primary
PS016826
PA
Other
Enumeration date
01/09/2007
Last updated
03/19/2014
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