Individual
AMANDA NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W 82ND ST STE P101, NEW YORK, NY 10024-5511
(646) 389-0173
Mailing address
240 E 82ND ST APT 6G, NEW YORK, NY 10028-2733
(817) 808-2626
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1976487251
NY
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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