Individual ProviderSusan Vaughan LewisPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address950 Campbell Ave, 116a, West Haven, CT 06516-2770(203) 932-5711PECOS EnrollmentBased on the most recent information from CMS, provider Susan Vaughan Lewis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1700982022Provider TypeIndividualFull NameLewis, Susan VaughanTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date9/15/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address950 Campbell Ave, 116a, West Haven, CT 06516-2770Phone(203) 932-5711Fax(203) 937-4962Mailing LocationMailing Address950 Campbell Ave, 116a, West Haven, CT 06516-2770Phone(203) 932-5711Fax(203) 937-4962Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense23207Connecticut