| Shoshana Lewin, Psy.d., Llc | |
|
17 Warren Rd Suite 3a Baltimore MD 21208-5334 | |
| (773) 343-4905 | |
| (443) 450-3409 |
| Full Name | Shoshana Lewin, Psy.d., Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 Warren Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Shoshana Lewin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7733434905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoshana Lewin, Psy.d., Llc 17 Warren Rd Suite 3a Baltimore MD 21208-5334 Ph: (773) 343-4905 | Shoshana Lewin, Psy.d., Llc 17 Warren Rd Suite 3a Baltimore MD 21208-5334 Ph: (773) 343-4905 |
| NPI Number | 1609237973 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Medicare PECOS PAC ID | 4385941723 |
|---|---|
| Medicare Enrollment ID | O20160329002833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609237973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 05639 (Maryland) | Primary |
| Provider Name | Shoshana R Lewin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932286044 PECOS PAC ID: 8820309669 Enrollment ID: I20160125000861 |
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