Provider Demographics
NPI:1245263706
Name:HECHT-LEWIS, REBECCA A (PHD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:A
Last Name:HECHT-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 1:416 PRINCE ST
Mailing Address - Street 2:ALEXANDRIA
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3114
Mailing Address - Country:US
Mailing Address - Phone:703-780-0278
Mailing Address - Fax:
Practice Address - Street 1:416 PRINCE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3114
Practice Address - Country:US
Practice Address - Phone:703-780-0278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810001825103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
178667OtherANTHEM BLUE CROSS
VA725522Medicare ID - Type Unspecified