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Contact Information

MATTHEW LEWIS
3711 E MEADOW LAND DR
SAN TAN VALLEY, AZ85140-5338
 Phone: 805-206-9868
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for MATTHEW LEWIS · (Male)

NPI Number 1720852791
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2023
Last updated 11/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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