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General NPI Number Information
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NPI Number | 1942239835
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Entity Type | Organization
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Legal Business Name | BRENDA JAMES LEWIS, PH.D.,P.C.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 23509 SCOTT DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2848
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Country | US
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Telephone | 313-920-2781
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Fax |
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Provider Business Mailing Address
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Address Line | 23509 SCOTT DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2848
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Country | US
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Telephone | 313-920-2781
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. BRENDA JAMES LEWIS
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Credential | PH.D.
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Telephone | 313-920-2781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 6301002406
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License Number State | MI
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