Keith, Robert Lewis

Keith, Robert Lewis is an individual health care provider with primary practice located at 86 Lake St , Burlington VT 05401-5297. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Keith, Robert Lewis can be contacted via phone (802) 865-3450.

Contact Information

Primary practice address
86 Lake St Burlington VT 05401-5297
Phone: (802) 865-3450
Fax: (802) 860-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 048-0000757 Vermont
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 100-0000030 Vermont

Profile Details

NPI number 1972579027
LBN Legal business name Keith, Robert Lewis
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972579027 NPPES
Vermont MEDICAID 1007660

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