Individual
DR. MARY CATHERINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5530 WISCONSIN AVE STE 1528, CHEVY CHASE, MD 20815-4300
(240) 780-8214
Mailing address
133 RAVENSWOOD CT, JOPPA, MD 21085-4526
(607) 226-2157
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
06958
MD
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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