Individual
BETTE LEWICKE
Active
Individual
BETTE LEWICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
810
NH
103T00000X
Psychologist
810
NH
103TA0700X
Adult Development & Aging Psychologist
810
NH
103TC2200X
Clinical Child & Adolescent Psychologist
810
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30425213
—
NH
Enumeration date
05/16/2006
Last updated
11/03/2011
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