Individual
DR. MARY B. LELWICA
Active
Individual
DR. MARY B. LELWICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004939L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00004467874
AETNA
PA
01
—
0003720
COM. CARE BEHAVIORAL HEAL
PA
01
—
0332164000
IBC
PA
01
—
112680
VALUE OPTIONS
PA
01
—
11447341
CAQH
PA
01
—
206413
COMPSYCH
PA
01
—
61-38877
UNITED BEHAVIORAL HEALTHC
PA
01
—
V458L
EMPIRE
PA
Enumeration date
03/29/2007
Last updated
07/08/2007
Update your record
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