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Contact Information

SAMANTHA B LEWIS, PHD
4646 JOHN R ST
DETROIT, MI48201-1916
 Phone: 248-310-8113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAMANTHA B LEWIS · (Female)

NPI # 1235747346
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/15/2020
Last updated 07/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6351001771
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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