Individual
MS. CAROLE J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
128 RECORD AVE, PUNXSUTAWNEY, PA 15767-1550
(814) 938-5792
Mailing address
128 RECORD AVE, PUNXSUTAWNEY, PA 15767-1550
(814) 938-5792
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-005829L
PA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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