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Individual

DR. KATHERINE ANN LEWITZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LP

Contact information

Practice address
6913 FOX LN, WATERFORD, MI 48327-3506
(248) 404-8816
Mailing address
6913 FOX LN, WATERFORD, MI 48327-3506
(248) 404-8816

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015399
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891031381
INSURANCE
MI
05
1891031381
MI
Enumeration date
01/02/2013
Last updated
03/17/2018
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