Doctor Name: | DIANNA KAY LEWIS |
NPI Number: | 1073759775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 301 Circle Of Progress Dr Pottstown, PA - 194643811 |
Business Phone Number: | 6109705410 |
Business Fax Number: | |
Mailing Address: | 301 Circle Of Progress Dr, POTTSTOWN |
State: | PA |
Postal Code: | 194643811 |
Phone Number: | 6109705410 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 12/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |