Individual
DR. JEFFREY W. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9506 ASHBURY PL, FREDERICK, MD 21701-7653
(202) 651-5515
Mailing address
9506 ASHBURY PL, FREDERICK, MD 21701-7653
(202) 651-5515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2473
MD
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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