Individual
BRIAN L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1317 3RD ST SW, ROANOKE, VA 24016-5238
(540) 344-2217
(540) 344-0182
Mailing address
1317 3RD ST SW, ROANOKE, VA 24016-5238
(540) 344-2217
(540) 344-0182
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004763
VA
103TH0004X
Health Psychologist
0810004763
VA
Other
Enumeration date
05/01/2012
Last updated
09/28/2015
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