Individual
DR. COLLEEN G. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
355 CENTRAL AVE, LAKESIDE CLINIC, FREDONIA, NY 14063-1132
(716) 672-6117
(716) 672-6120
Mailing address
355 CENTRAL AVE, LAKESIDE CLINIC, FREDONIA, NY 14063-1132
(716) 672-6117
(716) 672-6120
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010773
NY
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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