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Organization

SB LEWIS ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN R. LEWIS PSY.D. (CLINICAL PSYCHOLOGIST)
(802) 651-7637
Entity
Organization

Contact information

Practice address
28 PARK AVE STE 110, WILLISTON, VT 05495-9703
(802) 651-7637
(802) 879-5335
Mailing address
28 PARK AVE STE 110, WILLISTON, VT 05495-9703
(802) 651-7637
(802) 879-5335

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068-0000040
VT
103TC0700X
Clinical Psychologist
Primary
048-0000277
VT

Other

Enumeration date
03/15/2007
Last updated
09/10/2008
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