Doctor Name: | MS. SUE MAXWELL LEWIS |
NPI Number: | 1326017229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., LMHC, LMFT |
License Number: | 652 |
Business Practice Address: | 191 Main St Suite 213a Wareham, MA - 025712166 |
Business Phone Number: | 5082912007 |
Business Fax Number: | |
Mailing Address: | 191 Main St, Suite 213a WAREHAM |
State: | MA |
Postal Code: | 025712166 |
Phone Number: | 5082912007 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 652 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |