| Organization Name: | LYNETTE LEWIS PSYCHOLOGICAL SERVICES |
| NPI Number: | 1073989133 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNETTE LEWIS (OWNER) |
| Mailing Address: | 18500 156th Ave Ne Ste 202 Woodinville |
| State: | WA US |
| Postal Code: | 980724459 |
| Phone Number: | 4255635213 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2015 |
| NPI Last Update Date: | 08/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | MC60501697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |