Individual
DR. SUANNE MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
420 CRESTVIEW DR, FROSTBURG, MD 21532-1100
(301) 689-1262
(301) 689-1262
Mailing address
420 CRESTVIEW DR, FROSTBURG, MD 21532-1100
(301) 689-1262
(301) 689-1262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02910
MD
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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