Individual
MR. TRAE MICHAEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 N BLACKSTONE ST, TULARE, CA 93274-4449
(559) 688-2021
Mailing address
2316 N DIVISADERO ST, VISALIA, CA 93291-1765
(559) 901-6817
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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