Individual
THEODORE C LEWANDOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 COBBS ST, DREXEL HILL, PA 19026-1815
(610) 853-2495
Mailing address
1115 COBBS ST, DREXEL HILL, PA 19026-1815
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002329L
PA
103TA0700X
Adult Development & Aging Psychologist
PS002329L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS002329L
PA
103TP2701X
Group Psychotherapy Psychologist
PS002329L
PA
Other
Enumeration date
05/06/2007
Last updated
07/14/2007
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