Individual
STEWART DOUGLAS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
2120 CORPORATE SQUARE BLVD, SUITE 29, JACKSONVILLE, FL 32216-0306
(904) 651-7367
Mailing address
4341 YACHT CLUB RD, JACKSONVILLE, FL 32210-8317
(904) 384-3985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 2839
FL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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