Individual
DR. AMANDIA SPEAKES-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R, PHD
Contact information
Practice address
121 N CENTRAL AVE, VALLEY STREAM, NY 11580-3822
(516) 341-7094
(516) 515-7405
Mailing address
PO BOX 311, VALLEY STREAM, NY 11582-0311
(516) 341-7094
(516) 515-7405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
055205R
NY
Other
Enumeration date
05/17/2007
Last updated
11/29/2014
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