Most Relevant Information
Provider Data
| NPI Number: | 1003506999 |
| Provider Name: | MEGHAN CYTACKI-LEWIS MA, TLLP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | 6362009713 |
Most Important Dates
| Enumeration Date: | 05/12/2023 |
| Last Updated: | 05/12/2023 |
Provider Practice Location
333 BRIDGE ST NW STE 1120
GRAND RAPIDS
MI
495045356
Practice Location Phone/Fax
| Phone: | 6168053660 |
| Fax: |
Provider Mailing Location
316 CHARLES AVE SE
GRAND RAPIDS
MI
495034725
Provider Mailing Phone/Fax
| Phone: | 2313304838 |
| Fax: |