Individual
DR. SAMANTHA BETH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(248) 310-8113
Mailing address
25410 YORK RD, ROYAL OAK, MI 48067-3022
(248) 310-8113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6351001771
MI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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