Organization
AUTUMN LEWIS, PSY.D. LICENSED CLINICAL PSYCHOLOGIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN LEWIS (CLINICAL PSYCHOLOGIST)
(847) 305-4866
Entity
Organization
Contact information
Practice address
1350 COLUMBIA ST., SUITE 800, SAN DIEGO, CA 92101
(858) 228-0982
Mailing address
1350 COLUMBIA ST., SUITE 800, SAN DIEGO, CA 92101
(858) 228-0982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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