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Contact Information

CARRIE LEWIS
1049 1ST CAPITOL DR
SAINT CHARLES, MO63301-1952
 Phone: 314-341-0170
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CARRIE LEWIS · (Female)

NPI Number 1467757013
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2011
Last updated 04/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2019045859
  • MO Medicaid 490080412
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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