Individual
DR. LEWIS PAYNE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5 COLD HILL ROAD, SO., STE. 21, MENDHAM, NJ 07945-0415
(973) 543-5487
Mailing address
125 OLD FISH HOUSE RD, BROADALBIN, NY 12025-2041
(518) 883-3631
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
014202-1
NY
103TC0700X
Clinical Psychologist
Primary
35SI00253300
NJ
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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