Individual
NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFT
Contact information
Practice address
711 BETHLEHEM PIKE FL 2, ERDENHEIM, PA 19038-8114
(484) 614-2076
Mailing address
100 HOLLY DR APT 109, ROYERSFORD, PA 19468-3442
(484) 614-2076
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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