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Individual
DR. LEWIS JONES
Active
Individual
DR. LEWIS JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25247
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY25247
PSYCHOLOGIST LICENSE
CA
Enumeration date
09/28/2012
Last updated
09/03/2013
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