Organization
RUTH E LEWIS PHD LLC
Active
Parent organization
RUTH E. LEWIS PHD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUTH E. LEWIS PHD LLC
Authorized official
RUTH ELLEN LEWIS PHD (CLINICAL PYSCHOLOGIST)
(781) 483-3329
Entity
Organization
Contact information
Practice address
742 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4712
(781) 483-3329
(855) 893-1289
Mailing address
742 MASSACHUSETTS AVE, ARLINGTON, MA 02476-4712
(781) 483-3329
(855) 893-1289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022442A
—
MA
Enumeration date
01/28/2013
Last updated
01/28/2013
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