Individual
DIANE M DERR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3425 EXECUTIVE PKWY, SUITE 230, TOLEDO, OH 43606-1326
(419) 531-3500
(419) 531-1877
Mailing address
PO BOX 74872, CLEVELAND, OH 44194-0002
(419) 531-3500
(419) 531-1877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388012
ANTHEM INDIVIDUAL PROV #
OH
01
—
03023
PARAMOUNT INDIVIDUAL PR
OH
05
—
0911811
—
OH
01
—
267100000
AETNA PROV #
OH
Enumeration date
01/04/2007
Last updated
05/01/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us