Lewis, Judy Diane
Lewis, Judy Diane is an sole proprietor health care provider with primary practice located at 1806 W Kettleman Ln Ste D1 , Lodi CA 95242-4316. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Lewis, Judy Diane can be contacted via phone (209) 607-7895.Contact Information
Primary practice address
1806 W Kettleman Ln Ste D1
Lodi CA 95242-4316
Phone: (209) 607-7895
Fax: (209) 333-2620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 35589 | California |
Profile Details
| NPI number | 1114943859 |
|---|---|
| LBN Legal business name | Lewis, Judy Diane |
| Credentials | Marriage and Family Therapist (MFT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1114943859 | NPPES |
| California | Other | 35589 | MFT |
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