Individual
KATHERINE AUDREY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
4700 BRYANT IRVIN CT STE 303, FORT WORTH, TX 76107-7645
(325) 307-2910
Mailing address
8350 N CENTRAL EXPY STE 1275, DALLAS, TX 75206-1614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
39205
TX
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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