Individual
CARMEN JULIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
920 E BALTIMORE PIKE, SUITE 200, KENNETT SQUARE, PA 19348-1800
(610) 388-7400
(610) 388-7404
Mailing address
118 W MINER ST, APT 1 R, WEST CHESTER, PA 19382-3239
(215) 808-5858
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017634
PA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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