| Doctor Name: | DEBORAH LEWIS |
| NPI Number: | 1710088984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LMSW |
| License Number: | LMSW-26974 |
| Business Practice Address: | 1070 Hiline Rd 210 Pocatello, ID - 832012947 |
| Business Phone Number: | 2084789081 |
| Business Fax Number: | 2084784999 |
| Mailing Address: | 2420 E 25th St, IDAHO FALLS |
| State: | ID |
| Postal Code: | 834047549 |
| Phone Number: | 2085421026 |
| Fax Number: | 2085282945 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LMSW-26974 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |