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
Fax: (713) 457-0945
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689977084 NPPES
Maryland MEDICAID 037904200
Maryland Other 1A6905
Maryland MEDICAID 408966601

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