Individual
DR. ELLEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 HAMILL RD, SUITE 326 C, BALTIMORE, MD 21210-1813
(410) 433-1118
Mailing address
2 HAMILL RD, SUITE 326 C, BALTIMORE, MD 21210-1813
(410) 433-1118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
02597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T2180001
BLUE CROSS BLUE SHIELD
DC
01
—
T2180001
BLUE CROSS BLUE SHIELD
MD
Enumeration date
06/26/2006
Last updated
11/15/2012
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