Individual
DR. JACLYN L LEWIS-CROSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-3541
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-3541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 7852
FL
Other
Enumeration date
01/26/2009
Last updated
10/12/2016
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