Lewis, Clifford
Lewis, Clifford is an sole proprietor health care provider with primary practice located at 555 University Ave Ste 235 , Sacramento CA 95825-6505. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lewis, Clifford can be contacted via phone (916) 978-0522.Contact Information
Primary practice address
555 University Ave Ste 235
Sacramento CA 95825-6505
Phone: (916) 978-0522
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY6723 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY6723 | California |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY6723 | California |
Profile Details
| NPI number | 1497737696 |
|---|---|
| LBN Legal business name | Lewis, Clifford |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Apr 23rd, 2012 - about 14 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 | 1497737696 | NPPES |
| California | Other | 680014899 | RAILROAD MEDICARE |
| California | MEDICAID | PSY067230 | RAILROAD MEDICARE |
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