Individual
MRS. ANN MARIE LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12 RIDGE ST, MONTROSE, PA 18801-1515
(570) 278-9458
(570) 586-2196
Mailing address
PO BOX 341, MONTROSE, PA 18801-0341
(570) 278-9458
(570) 586-2196
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-006576-L
PA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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