Individual
JENEE LEWIS-WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LCP
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Mailing address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 819-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004189
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945255
—
VA
Enumeration date
12/08/2009
Last updated
12/08/2009
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