NPI | 1467111492 |
---|---|
Former Legal Business Name | LAURA J. LEWIS PH. D. |
Entity Type | Organization |
Authorized Contact | LAURA JEAN LEWIS Owner 419-460-0413 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Enumeration Date | 2021-12-17 |
Last Update Date | 2021-12-17 |