Provider Demographics
NPI:1740935477
Name:LEWIS, MORRIS KENARD III (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:KENARD
Last Name:LEWIS
Suffix:III
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9801 LANHAM SEVERN RD UNIT 627
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20703-7525
Mailing Address - Country:US
Mailing Address - Phone:816-787-3199
Mailing Address - Fax:
Practice Address - Street 1:320 1ST ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20534-2000
Practice Address - Country:US
Practice Address - Phone:202-451-7517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY-0003035103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling