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Individual

MS. DIANE E LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
514 HAIGHT AVE, POUGHKEEPSIE, NY 12603-2464
(845) 485-9098
(845) 485-8780
Mailing address
2452 BRUYNSWICK RD, WALLKILL, NY 12589-3259
(845) 895-3378

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018464
NY

Other

Enumeration date
04/27/2011
Last updated
04/27/2011
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