Lewis, Charla
Lewis, Charla is an individual health care provider with primary practice located at 3025 E Renner Rd Ste 303 , Richardson TX 75082-3580. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Lewis, Charla can be contacted via phone (713) 457-4372.Contact Information
Primary practice address
3025 E Renner Rd Ste 303
Richardson TX 75082-3580
Phone: (713) 457-4372
Fax: (713) 457-0945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 04586 | Maryland |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1000544 | District of Columbia |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 38413 | Texas |
Profile Details
NPI number | 1689977084 |
---|---|
LBN Legal business name | Lewis, Charla |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 8th, 2010 |
Last updated | Jun 23rd, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689977084 | NPPES |
Maryland | MEDICAID | 037904200 | |
Maryland | Other | 1A6905 | |
Maryland | MEDICAID | 408966601 |
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