Lewis, Jacklyn Elizabeth

Lewis, Jacklyn Elizabeth is an sole proprietor health care provider with primary practice located at 23 Corporate Plaza Dr Ste 150 , Newport Beach CA 92660-7908. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Jacklyn Elizabeth can be contacted via phone (714) 962-2073.

Contact Information

Primary practice address
23 Corporate Plaza Dr Ste 150 Newport Beach CA 92660-7908
Phone: (714) 962-2073
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY14269 California

Profile Details

NPI number 1982769253
LBN Legal business name Lewis, Jacklyn Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 9th, 2012 - about 12 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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