Provider Information for 1811587710
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TIFFANY MICHELLE LEWIS LPC
Sex: Female
NPI: 1811587710
Last Updated: 2021-01-25
Certification Date: 2021-01-25
Certification Date: 2021-01-25
Details
Name | Value | ||||||||||||||
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NPI | 1811587710 | ||||||||||||||
Enumeration Date | 2021-01-25 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 435 SHADY AVE PITTSBURGH, PA 15206-4560 United States Phone: 412-363-4220 | Fax: | ||||||||||||||
Primary Practice Address | 435 SHADY AVE PITTSBURGH, PA 15206-4560 United States Phone: 412-363-4220 | Fax: | ||||||||||||||
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