Provider Demographics
NPI:1285354621
Name:LEWIS, SHARON D (LAMFT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:D
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CATHY LN STE 103
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-9727
Mailing Address - Country:US
Mailing Address - Phone:609-499-0165
Mailing Address - Fax:703-117-0313
Practice Address - Street 1:60 CATHY LN STE 103
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-9727
Practice Address - Country:US
Practice Address - Phone:609-499-0165
Practice Address - Fax:703-117-0313
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FA00027100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional