Individual
DR. SHANNON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
450 PEARL ST STE 3, STOUGHTON, MA 02072-1617
(781) 318-3177
Mailing address
450 PEARL ST STE 3, STOUGHTON, MA 02072-1617
(781) 318-3177
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9667
MA
Other
Enumeration date
10/04/2010
Last updated
02/07/2022
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