Individual
DR. LISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD PSYCHOLOGIST
Contact information
Practice address
179 LONGWOOD AVE, MCPHS U, BOSTON, MA 02115-5804
(617) 879-5984
Mailing address
179 LONGWOOD AVE, MCPHS U, BOSTON, MA 02115-5804
(617) 879-5984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1344AL
MA
101YM0800X
Mental Health Counselor
6906
MA
103T00000X
Psychologist
Primary
9741
MA
Other
Enumeration date
03/06/2009
Last updated
12/10/2013
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