Provider Demographics
NPI:1154418747
Name:LEWIS, CHRISTINE H (PHD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:H
Last Name:LEWIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3728 STATE ST UNIT 135
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3388
Mailing Address - Country:US
Mailing Address - Phone:805-895-6492
Mailing Address - Fax:805-919-5261
Practice Address - Street 1:3728 STATE ST UNIT 135
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3388
Practice Address - Country:US
Practice Address - Phone:805-895-6492
Practice Address - Fax:805-919-5261
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY14783103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical