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Contact Information

COLLEEN G LEWIS, PhD
355 CENTRAL AVE
LAKESIDE CLINIC
FREDONIA, NY14063-1132
 Phone: 716-672-6117
 Fax: 716-672-6120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COLLEEN G LEWIS · (Female)

NPI Number 1548587710
Status Active
Credentials PhD
Entity Individual
Enumeration date 04/28/2010
Last updated 04/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 010773
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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