Lewis, Grayson James
Lewis, Grayson James is an sole proprietor health care provider with primary practice located at 1950 S Sunwest Ln , San Bernardino CA 92408-3258. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lewis, Grayson James can be contacted via phone (909) 252-4010.Contact Information
Primary practice address
1950 S Sunwest Ln
San Bernardino CA 92408-3258
Phone: (909) 252-4010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY32222 | California |
Profile Details
| NPI number | 1790160182 |
|---|---|
| LBN Legal business name | Lewis, Grayson James |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2015 |
| Last updated | Feb 11th, 2022 - 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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