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Contact Information

BRIAN L LEWIS, PHD
1317 3RD ST SW
ROANOKE, VA24016-5238
 Phone: 540-344-2217
 Fax: 540-344-0182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRIAN L LEWIS · (Male)

NPI Number 1306104005
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/01/2012
Last updated 09/28/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0810004763
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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