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Individual

DR. BERNARD J LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
801 S LOUDOUN STREET, WINCHESTER, VA 22601
(540) 667-5431
(540) 667-2655
Mailing address
801 S LOUDOUN STREET, WINCHESTER, VA 22601
(540) 667-5431
(540) 667-2655

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000947
VA
103TC0700X
Clinical Psychologist
454
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017814
ANTHEM BCBS
VA
01
084169
COMMUNITY HEALTH
VA
Enumeration date
09/02/2006
Last updated
05/29/2008
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