Clinton Allen Lewis in Edmond - Psychologist
Clinton Allen Lewis - NPI 1316957624
Clinton Allen Lewis is a Psychologist in Edmond, Oklahoma. Clinton Allen Lewis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clinton Allen Lewis is 1316957624. The last update date is 2007-07-08.
Clinton Allen Lewis's current location address is 3855 S Boulevard, Edmond, Oklahoma. You can contact this provider via phone number 4053404321 and fax number 4053409408. The mailing address for Clinton Allen Lewis is 3855 S Boulevard, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clinton Allen Lewis |
|---|---|
| Address | 3855 S Boulevard, Edmond, Oklahoma |
| Phone Number | 4053404321 |
| Fax Number | 4053409408 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1316957624 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3855 S Boulevard |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 73013 |
| Phone Number | 4053404321 |
| Fax Number | 4053409408 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 896 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Clinton Allen Lewis by the Centers for Medicare & Medicaid Services?
The Clinton Allen Lewis has been issued the NPI (National Provider Identifier) 1316957624, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Clinton Allen Lewis located?
The Clinton Allen Lewis is located at 3855 S Boulevard, Edmond, OK 73013.
What is Clinton Allen Lewis's area of expertise and its corresponding taxonomy classification?
The Clinton Allen Lewis's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Clinton Allen Lewis receive its 1316957624 assignment from the Centers for Medicare & Medicaid Services?
The Clinton Allen Lewis was assigned its 1316957624 by the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date were the details pertaining to Clinton Allen Lewis last refreshed?
The information related to the Clinton Allen Lewis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.