Individual
CHARLES N LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2235
Mailing address
31 BENHAM ST, MEDFORD, MA 02155-5429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4787-10
HARVARD PILGRIM HEALTH
MA
Enumeration date
08/30/2006
Last updated
07/08/2007
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