Individual
MARY M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6465 REFLECTIONS DR, SUITE 110, DUBLIN, OH 43017-2355
(614) 792-1108
(614) 792-0018
Mailing address
6457 REFLECTIONS DR STE 120, DUBLIN, OH 43017-2352
(614) 792-1108
(614) 792-0018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5927
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415765
—
OH
Enumeration date
08/12/2006
Last updated
02/07/2020
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