Krystal T Lewis, S.S.P.
Individual provider Active NPI School Psychologist · Fairfax, VA
NPI 1114532009 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1114532009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- Practice address
- 8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530 - Phone
- (571) 423-4098
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Yes |
Addresses
Primary practice location
8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530
Mailing address
8270 Willow Oaks Corporate Dr
Fairfax, VA 22031-4530
Other providers in Fairfax, VA
- Ceyonna Cantrell Lewis
- Devin Lewis
- Elizabeth Marian Lewis
- Kathryn O Lewis
- Kerry Randall Lewis
- Sharon Lewis
- Trevor Kyle Lewis
- Roger Leyou
- LGW Wellness
- Hanyun Li
All providers in Fairfax, VA · School Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.