Individual
MR. MIGUEL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4476 SW 136TH PL, MIAMI, FL 33175-3721
(305) 989-3536
Mailing address
4476 SW 136TH PL, MIAMI, FL 33175-3721
(305) 989-3536
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7467
FL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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