Individual
MATTHEW LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 E MEADOW LAND DR, SAN TAN VALLEY, AZ 85140-5338
(805) 206-9868
Mailing address
3711 E MEADOW LAND DR, SAN TAN VALLEY, AZ 85140-5338
(805) 206-9868
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
103TE1100X
Exercise & Sports Psychologist
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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