Individual
MS. DIANE M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2035 WESTWOOD BLVD, SUITE #206, LOS ANGELES, CA 90025-6332
(626) 390-7272
Mailing address
1613 CHELSEA RD # 278, SAN MARINO, CA 91108-2419
(818) 292-0543
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27611
CA
Other
Enumeration date
07/27/2009
Last updated
09/23/2015
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