Individual
DR. SYMONE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
75 EXECUTIVE DR STE 337, AURORA, IL 60504-8152
(331) 707-8623
Mailing address
75 EXECUTIVE DR STE 337, AURORA, IL 60504-8152
(331) 707-8623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-007064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071-007064
LIC. CLINICAL PSYCHOLOGIS
IL
Enumeration date
07/21/2006
Last updated
09/01/2020
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