Individual
DR. DEBRA K LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD LP
Contact information
Practice address
55 E LONG LAKE RD STE 314, TROY, MI 48085-4738
(248) 202-3779
Mailing address
55 E LONG LAKE RD STE 314, TROY, MI 48085-4738
(248) 202-3779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00012
MI
103T00000X
Psychologist
63010103394
MI
103TC0700X
Clinical Psychologist
Primary
63010103394
MI
Other
Enumeration date
08/31/2006
Last updated
01/22/2025
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