Provider Demographics
NPI:1457400343
Name:LEWIS, ANNA CATHERINE (PHD)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CATHERINE
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 1:1952 WALDEN LN
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-5520
Mailing Address - Country:US
Mailing Address - Phone:707-294-7276
Mailing Address - Fax:
Practice Address - Street 1:1290 JEFFERSON ST STE E
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2476
Practice Address - Country:US
Practice Address - Phone:707-418-0498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31222103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical