Provider Demographics
NPI:1922106095
Name:LEWMAN, DIANE L (PSYD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:L
Last Name:LEWMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6353
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-6353
Mailing Address - Country:US
Mailing Address - Phone:530-591-3477
Mailing Address - Fax:
Practice Address - Street 1:344 FLUME ST
Practice Address - Street 2:STE. F
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5429
Practice Address - Country:US
Practice Address - Phone:530-591-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37033106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist