Individual
LEWIS E. HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCH.
Contact information
Practice address
15446 BEL RED RD, REDMOND, WA 98052-5501
(425) 883-5320
(425) 883-5178
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY00000824
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8344574
—
WA
Enumeration date
01/22/2007
Last updated
07/25/2007
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