Organization
LEWIS PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY LEWIS PSY.D. (PRESIDENT)
(678) 360-4819
Entity
Organization
Contact information
Practice address
1549 CLAIRMONT RD, SUITE 108, DECATUR, GA 30033-4639
(678) 360-4819
Mailing address
2076 KINRIDGE CT, MARIETTA, GA 30062-1804
(678) 360-4819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002890
GA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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