Individual
DR. GARY R. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8686 CAPRICORN WAY, SAN DIEGO, CA 92126-1851
(858) 695-9535
(858) 549-7057
Mailing address
8686 CAPRICORN WAY, SAN DIEGO, CA 92126-1851
(858) 695-9535
(858) 549-7057
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 14349
CA
Other
Enumeration date
01/30/2007
Last updated
07/29/2021
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