Lewis, Teresa Gray

Lewis, Teresa Gray is an individual health care provider with primary practice located at 4700 Long Beach Blvd , Long Beach Township NJ 08008-3926. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lewis, Teresa Gray can be contacted via phone (609) 494-1554.

Contact Information

Primary practice address
4700 Long Beach Blvd Long Beach Township NJ 08008-3926
Phone: (609) 494-1554
Fax: (609) 361-9653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X New Jersey

Profile Details

NPI number 1952338972
LBN Legal business name Lewis, Teresa Gray
Credentials LCSW, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952338972 NPPES
New Jersey MEDICAID 0094251

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