| Grayson James Lewis, PSYD | |
|
1950 S Sunwest Ln, San Bernardino, CA 92408-3258 | |
| (909) 252-4010 | |
| Not Available |
| Full Name | Grayson James Lewis |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1950 S Sunwest Ln, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790160182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY32222 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Grayson James Lewis, PSYD 1305 Tommydon St, Stockton, CA 95210-3364 Ph: (209) 476-3341 | Grayson James Lewis, PSYD 1950 S Sunwest Ln, San Bernardino, CA 92408-3258 Ph: (909) 252-4010 |
Dr. Christine Bierdrager-salley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 Fax: 909-380-7030 |
Dr. Veronica Regueiro, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1499 S Tippecanoe Ave Bldg A, San Bernardino, CA 92408 Phone: 909-799-3777 Fax: 909-799-5999 |
Campbell L Mcgowan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 777 N F St, San Bernardino, CA 92410 Phone: 909-381-1100 |
Diamonique Townsend, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 658 E Brier Dr Ste 200, San Bernardino, CA 92408 Phone: 909-501-0700 |
Kristy Wilson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 S Waterman Ave, San Bernardino, CA 92408 Phone: 909-386-2300 |
Aantuu Mengistu, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 |
Dr. Jonathan Robert Held, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 237 W Mill Street, San Bernardino, CA 92415 Phone: 909-388-4133 Fax: 909-388-4190 |