Organization
SHORE PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE REIDER LEWIS PSYD (OWNER/DIRECTOR)
(443) 249-3162
Entity
Organization
Contact information
Practice address
112 SAINT CLAIRE PL STE 202, STEVENSVILLE, MD 21666-2193
(443) 249-3162
Mailing address
112 SAINT CLAIRE PL STE 202, STEVENSVILLE, MD 21666-2193
(443) 249-3162
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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