Organization
LEWIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUANNE MARIE LEWIS ED.D. (PSYCHOLOGIST)
(301) 759-2813
Entity
Organization
Contact information
Practice address
111 S GEORGE ST, SUITE 15, CUMBERLAND, MD 21502-3087
(301) 759-2813
(301) 759-2813
Mailing address
111 S GEORGE ST, SUITE 15, CUMBERLAND, MD 21502-3087
(301) 759-2813
(301) 759-2813
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02910
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313101700
—
MD
01
—
458143000
MAGELLAN
MD
01
—
BA29
CAREFIRST
MD
Enumeration date
11/28/2016
Last updated
11/28/2016
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