National Provider Identifier
Colleen G. Lewis, PH.D.
Colleen G. Lewis, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Fredonia, NY and a listed phone number of (716) 672-6117.
Profile Overview
- NPI
- 1548587710
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- April 28, 2010
- Last Updated
- April 28, 2010
Practice Location
- 355 Central Ave
- Lakeside Clinic
- Fredonia, NY 14063-1132
Phone: (716) 672-6117
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1548587710
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Colleen
- Middle Name
- G.
- Name Prefix
- Dr.
- Credential
- PH.D.
- Mailing Street Address
- 355 Central Ave
- Mailing Address Line 2
- Lakeside Clinic
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1132
- Mailing Country
- US
- Mailing Phone
- (716) 672-6117
- Mailing Fax
- (716) 672-6120
- Practice Street Address
- 355 Central Ave
- Practice Address Line 2
- Lakeside Clinic
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1132
- Practice Country
- US
- Practice Phone
- (716) 672-6117
- Practice Fax
- (716) 672-6120
- Enumeration Date
- April 28, 2010
- Last Updated
- April 28, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)