| Lewis Center | |
|
111 S George St Suite 15 Cumberland MD 21502-3087 | |
| (301) 759-2813 | |
| (301) 759-2813 |
| Full Name | Lewis Center |
|---|---|
| Speciality | Psychologist |
| Location | 111 S George St, Cumberland, Maryland |
| Authorized Official Name and Position | Suanne Marie Lewis (PSYCHOLOGIST) |
| Authorized Official Contact | 3017592813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewis Center 111 S George St Suite 15 Cumberland MD 21502-3087 Ph: (301) 759-2813 | Lewis Center 111 S George St Suite 15 Cumberland MD 21502-3087 Ph: (301) 759-2813 |
| NPI Number | 1487197208 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487197208 | NPI | - | NPPES |
| BA29 | Other | MD | CAREFIRST |
| 458143000 | Other | MD | MAGELLAN |
| 313101700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 02910 (Maryland) | Primary |
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