Organization
JACLYN LEWIS-CROSWELL, PSY D PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN LEE LEWIS-CROSWELL PSY.D. (CEO)
(813) 679-6300
Entity
Organization
Contact information
Practice address
13357 N 56TH ST, TAMPA, FL 33617-1161
(813) 679-6300
Mailing address
2307 NESSLEWOOD DR, WESLEY CHAPEL, FL 33543-5119
(813) 679-6300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
01/12/2022
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