Individual
DR. ROBIN J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
505 S INDEPENDENCE BLVD, SUITE 207, VIRGINIA BEACH, VA 23452-1150
(757) 497-4965
(757) 497-4197
Mailing address
505 S INDEPENDENCE BLVD, SUITE 207, VIRGINIA BEACH, VA 23452-1150
(757) 497-4965
(757) 497-4197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001449
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076708
BLUE CROSS
VA
01
—
080905
SENTARA
VA
05
—
7708173
—
VA
Enumeration date
08/07/2006
Last updated
07/08/2007
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