Individual
MRS. MARGOT MCGRATH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5269
Mailing address
206 WESTOVER AVE, NORFOLK, VA 23507-2304
(301) 442-3867
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005107
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
TRICARE
VA
Enumeration date
11/04/2015
Last updated
11/04/2015
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