Individual
DR. GERALD W LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1290 WORCESTER RD, FRAMINGHAM, MA 01702-5254
(508) 872-6228
(508) 370-7282
Mailing address
1290 WORCESTER RD, FRAMINGHAM, MA 01702-5254
(508) 872-6228
(508) 370-7282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY-2096-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701415
TUFTS
—
01
—
W02312
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/15/2006
Last updated
07/08/2007
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