Lewis, Todd

Lewis, Todd is an individual health care provider with primary practice located at Six Franklin Plaza , Philadelphia PA 19102-1125. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lewis, Todd can be contacted via phone (215) 587-3122.

Contact Information

Primary practice address
Six Franklin Plaza Philadelphia PA 19102-1125
Fax: (215) 587-9405
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS007903L Pennsylvania

Profile Details

NPI number 1679552889
LBN Legal business name Lewis, Todd
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated May 2nd, 2008 - about 18 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 1679552889 NPPES
Pennsylvania MEDICAID 001718376

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