Individual
LISA A HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
909 PECAN ST, BASTROP, TX 78602-3819
(512) 321-7334
Mailing address
114 KEANAHALULULU LN, BASTROP, TX 78602-6003
(817) 917-3554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35097
TX
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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