Mrs. Danasty Marie Lewis
Rehabilitation Psychologist
3001 Warrior Lane
Poplar Bluff
, Missouri 63901
Mrs. Danasty Marie Lewis
Rehabilitation Psychologist
3001 Warrior Lane
Poplar Bluff
, Missouri 63901
(573) 686-1200
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Danasty Marie Lewis
- 3001 Warrior Ln
- Poplar Bluff, MO
- Zip : 63901-8685
- Phone : (573) 686-1200
Second Address
- Mrs. Danasty Marie Lewis
- 3001 Warrior Lane
- Poplar Bluff, MO
- Zip : 63901
- Phone : (573) 686-1200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1568811354 |
|---|---|
| Provider Name | Mrs. Danasty Marie Lewis |
| First Address | Poplar Bluff, MO 63901-8685 |
| Second Address | Poplar Bluff, MO 63901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2016 |
| Last Update Date | 13/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.