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Individual

DR. TODD LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
SIX FRANKLIN PLAZA, PHILADELPHIA, PA 19102-1125
(215) 587-3122
(215) 587-9405
Mailing address
SIX FRANKLIN PLAZA, PHILADELPHIA, PA 19102-1125
(215) 587-3122
(215) 587-9405

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS007903L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001718376
PA
Enumeration date
01/16/2006
Last updated
05/02/2008
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