Provider Demographics
NPI:1932286044
Name:LEWIN, SHOSHANA RACHEL GOLDMAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHOSHANA
Middle Name:RACHEL GOLDMAN
Last Name:LEWIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:SHOSHANA
Other - Middle Name:RACHEL
Other - Last Name:LEWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 WARREN RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5334
Mailing Address - Country:US
Mailing Address - Phone:773-343-4905
Mailing Address - Fax:443-450-3409
Practice Address - Street 1:17 WARREN RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-5334
Practice Address - Country:US
Practice Address - Phone:773-343-4905
Practice Address - Fax:443-450-3409
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist