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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497737696 NPPES
California Other 680014899 RAILROAD MEDICARE
California MEDICAID PSY067230 RAILROAD MEDICARE

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