Individual
DR. PETER H LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, MSCP
Contact information
Practice address
110 NNPTC CIR BLDG 2418, GOOSE CREEK, SC 29445-6314
(843) 794-6450
(843) 794-6088
Mailing address
110 NNPTC CIR BLDG 2418, GOOSE CREEK, SC 29445-6314
(843) 794-6450
(843) 794-6088
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1234
SC
103TP0016X
Prescribing (Medical) Psychologist
Primary
1714
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53672
NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS
DC
Enumeration date
07/09/2008
Last updated
11/22/2024
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