Lewis, Virginia Kleindienst

Lewis, Virginia Kleindienst is an individual health care provider with primary practice located at 701 West Wetmore Road Amphitheater Public Schools, Tucson AZ 85705-1547. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lewis, Virginia Kleindienst can be contacted via phone (520) 696-5237.

Contact Information

Primary practice address
701 West Wetmore Road Amphitheater Public Schools Tucson AZ 85705-1547
Phone: (520) 696-5237
Fax: (520) 696-5067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X LCSW10219 Arizona

Profile Details

NPI number 1205040540
LBN Legal business name Lewis, Virginia Kleindienst
Credentials MSW DSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205040540 NPPES
Arizona MEDICAID 566078

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