Jalisa Lewis
Rehabilitation Psychologist
12115 Lemmond Farm Dr Apt 1101
Charlotte
, North Carolina 28227-8191
Jalisa Lewis
Rehabilitation Psychologist
12115 Lemmond Farm Dr Apt 1101
Charlotte
, North Carolina 28227-8191
(919) 222-6052
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Jalisa Lewis
- 12115 Lemmond Farm Dr Apt 1101
- Charlotte, NC
- Zip : 28227-8191
- Phone : (919) 222-6052
Second Address
- Jalisa Lewis
- 12115 Lemmond Farm Dr Apt 1101
- Charlotte, NC
- Zip : 28227-8191
- Phone : (919) 222-6052
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1063084234 |
|---|---|
| Provider Name | Jalisa Lewis |
| First Address | Charlotte, NC 28227-8191 |
| Second Address | Charlotte, NC 28227-8191 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2021 |
| Last Update Date | 15/07/2021 |
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.