Doctor Name: | MRS. AMY LEW |
NPI Number: | 1659417871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 214 |
Business Practice Address: | 10 Langley Rd Suite 200 Newton Center, MA - 024591972 |
Business Phone Number: | 6173326755 |
Business Fax Number: | 6173327863 |
Mailing Address: | 10 Langley Rd, Suite 200 NEWTON CENTER |
State: | MA |
Postal Code: | 024591972 |
Phone Number: | 6173326755 |
Fax Number: | 6173327863 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 214 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |