Lewis, Symone
Lewis, Symone is an individual health care provider with primary practice located at 75 Executive Dr Ste 337 , Aurora IL 60504-8152. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lewis, Symone can be contacted via phone (331) 707-8623.Contact Information
Primary practice address
75 Executive Dr Ste 337
Aurora IL 60504-8152
Phone: (331) 707-8623
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071-007064 | Illinois |
Profile Details
NPI number | 1770503542 |
---|---|
LBN Legal business name | Lewis, Symone |
Credentials | PSY. D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2006 |
Last updated | Sep 1st, 2020 - about 5 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 | 1770503542 | NPPES |
Illinois | Other | 071-007064 | LIC. CLINICAL PSYCHOLOGIS |
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