Individual
PAMELA DENISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPA
Contact information
Practice address
833 DURHAM RD, WAKE FOREST, NC 27587-3303
(919) 556-6125
Mailing address
PO BOX 98986, RALEIGH, NC 27624-8986
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
4102
NC
Other
Enumeration date
08/02/2011
Last updated
01/19/2012
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