Individual
MICHAEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 PATERSON ST, ROBERT WOOD JOHNSON PROFESSIONAL CENTER, NEW BRUNSWICK, NJ 08901-2160
(732) 235-7888
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI002116
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361305
—
NJ
Enumeration date
12/12/2006
Last updated
03/10/2008
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