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Contact Information

JACKLYN E LEWIS, PhD
23 CORPORATE PLAZA DR STE 150
NEWPORT BEACH, CA92660-7908
 Phone: 714-962-2073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACKLYN E LEWIS · (Female)

NPI Number 1982769253
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/27/2006
Last updated 07/09/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY14269
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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