Individual
DR. AUTUMN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1350 COLUMBIA ST UNIT 800, SAN DIEGO, CA 92101-3456
(858) 228-0982
Mailing address
1350 COLUMBIA ST UNIT 800, SAN DIEGO, CA 92101-3456
(858) 228-0982
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35953
CA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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