Doctor Name: | PAMELA LEWIS |
NPI Number: | 1114341088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 360908 |
Business Practice Address: | 12 Ledgewood Cir Belchertown, MA - 010079407 |
Business Phone Number: | 4135373888 |
Business Fax Number: | |
Mailing Address: | 12 Ledgewood Cir, BELCHERTOWN |
State: | MA |
Postal Code: | 010079407 |
Phone Number: | 4135373888 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2014 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 360908 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |