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Contact Information

GRAYSON J LEWIS, PSY.D.
1950 S SUNWEST LN
SAN BERNARDINO, CA92408-3258
 Phone: 909-252-4010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GRAYSON J LEWIS · (Male)

NPI Number 1790160182
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 07/27/2015
Last updated 02/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY32222
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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