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Contact Information

MARY M LEWIS, PhD
6465 REFLECTIONS DR
SUITE 110
DUBLIN, OH43017-2355
 Phone: 614-792-1108
 Fax: 614-792-0018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY M LEWIS · (Female)

NPI # 1124030994
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/12/2006
Last updated 02/07/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 5927
  • OH Medicaid 2415765
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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