Individual
DR. MONICA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-2197
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 888-9622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810002115
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007704593
—
VA
01
—
0810002115
LICENSE NUMBER
VA
Enumeration date
10/19/2006
Last updated
06/17/2021
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