Sandi Lewis, PH.D.

Individual provider Active NPI Clinical Psychologist · Chattahoochee, FL

NPI 1225314537 · NPPES record last updated Nov 1, 2011

Key facts

NPI
1225314537
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PY 8147 (FL)
Practice address
100 N Main St
Chattahoochee, FL 32324-1107
Phone
(850) 663-7201
NPI assigned
Nov 1, 2011
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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 8147FLMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 8147 FL Yes

Addresses

Primary practice location

100 N Main St
Chattahoochee, FL 32324-1107

Mailing address

935 Carraway St
Tallahassee, FL 32308-5129
Phone (850) 510-3090

Other providers in Chattahoochee, FL

All providers in Chattahoochee, FL · Clinical Psychologist in Florida

Sources for this page

Verify at the official NPI Registry.