Individual
DR. KRISTIN NICOLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
310 N FOREST PARK BLVD, SUITE 202, KNOXVILLE, TN 37919
(865) 214-7065
(423) 714-2355
Mailing address
310 N FOREST PARK BLVD, SUITE 202, KNOXVILLE, TN 37919
(865) 214-7065
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P3286
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
09/04/2013
Last updated
08/18/2020
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