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Individual

DR. JAMES R. LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1304 LORY ST, FORT COLLINS, CO 80524-4214
(970) 490-1801
(970) 494-0481
Mailing address
1304 LORY ST, FORT COLLINS, CO 80524-4214
(970) 490-1801
(970) 494-0481

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
394
WY
103T00000X
Psychologist
Primary
856
CO
103TA0400X
Addiction (Substance Use Disorder) Psychologist
394
WY
103TA0400X
Addiction (Substance Use Disorder) Psychologist
856
CO
103TC2200X
Clinical Child & Adolescent Psychologist
394
WY
103TC2200X
Clinical Child & Adolescent Psychologist
856
CO

Other

Enumeration date
10/06/2006
Last updated
01/21/2009
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