Individual
DR. GREGG ALLEN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
18826 N LOWER SACRAMENTO RD, SUITE C, WOODBRIDGE, CA 95258-9290
(209) 368-2532
Mailing address
18826 LOWER SACRAMENTO RD., SUITE C, WOODBRIDGE, CA 95258-9290
(209) 368-2532
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY15313
CA
Other
Enumeration date
05/12/2008
Last updated
11/03/2010
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