| 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 |