Jenna Clark Lewis, PSYD
NPI #1124662150 in Whiteman Afb, Missouri
Provider Information
- NPI Number
- 1124662150
- Entity Type
- Individual
- Name
- Jenna Clark Lewis, PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PSYD
- Enumeration Date
- Nov 2, 2019
- Last Updated
- Mar 4, 2024
Practice Location
- Address
- 331 SIJAN AVE
- Address 2
- WHITEMAN AFB
- City
- Whiteman Afb
- State
- Missouri
- ZIP Code
- 65305
- Phone
- (606) 874-3416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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