Lewis, Monica L

Lewis, Monica L is an individual health care provider with primary practice located at 1201 Broad Rock Blvd , Richmond VA 23249-2197. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Lewis, Monica L can be contacted via phone (804) 675-5000.

Contact Information

Primary practice address
1201 Broad Rock Blvd Richmond VA 23249-2197
Phone: (804) 675-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810002115 Virginia

Profile Details

NPI number 1447332663
LBN Legal business name Lewis, Monica L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 17th, 2021 - about 4 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 1447332663 NPPES
Virginia MEDICAID 007704593
Virginia Other 0810002115

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