Provider Demographics
NPI:1588872535
Name:LEWANDOWSKI, KATHY ANN (MA)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANN
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:KATHY
Other - Middle Name:ANN
Other - Last Name:SOUZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:66 TROY ST
Mailing Address - Street 2:SUITE 4 & 5
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-3023
Mailing Address - Country:US
Mailing Address - Phone:508-676-5708
Mailing Address - Fax:508-676-1948
Practice Address - Street 1:1061 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6728
Practice Address - Country:US
Practice Address - Phone:508-996-8572
Practice Address - Fax:508-991-8618
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health