Doctor Name: | MR. JOHN SCOTT LEWIS |
NPI Number: | 1134388457 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 519 Penn Ave Turtle Creek, PA - 151452082 |
Business Phone Number: | 4123490632 |
Business Fax Number: | |
Mailing Address: | 4330 Orchardview Dr, ALLISON PARK |
State: | PA |
Postal Code: | 151012638 |
Phone Number: | 4124929324 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2008 |
NPI Last Update Date: | 06/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |