Individual
DR. LYNETTE ANN WYATT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
19803 N CREEK PKWY STE 205, BOTHELL, WA 98011-5014
(425) 563-5213
Mailing address
1202 200TH PL SE, BOTHELL, WA 98012-7749
(425) 563-5213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60716145
WA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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