Individual
ELIZABETH MCGOWAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-6329
Mailing address
8 KRUG CT, LOUDONVILLE, NY 12211-1915
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016861-1
NY
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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