Carolyn V Lewis
Clinical Psychologist
1920 Briarcliff Rd Ne
Atlanta
, Georgia 30329-4010
Carolyn V Lewis
Clinical Psychologist
1920 Briarcliff Rd Ne
Atlanta
, Georgia 30329-4010
(770) 925-8542
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Carolyn V Lewis
- 5021 Chester Ct Sw
- Lilburn, GA
- Zip : 30047-5416
- Phone : (770) 925-8542
Second Address
- Carolyn V Lewis
- 1920 Briarcliff Rd Ne
- Atlanta, GA
- Zip : 30329-4010
- Fax : (404) 419-4263
- Phone : (404) 419-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY001556 | GA |
| Y | 103TC0700X | Clinical Psychologist | PSY001556 | GA |
National Provider Identifier
| NPI | 1013097310 |
|---|---|
| Provider Name | Carolyn V Lewis |
| First Address | Lilburn, GA 30047-5416 |
| Second Address | Atlanta, GA 30329-4010 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 08/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 68BBCDC | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.