Doctor Name: | LEWIS J NEVINS |
NPI Number: | 1679827224 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PCC |
License Number: | E0800290 |
Business Practice Address: | 1948 E Whipp Rd Suite A1 Kettering, OH - 454404240 |
Business Phone Number: | 9374346217 |
Business Fax Number: | 9374346375 |
Mailing Address: | 1948 E Whipp Rd, Suite A1 KETTERING |
State: | OH |
Postal Code: | 454404240 |
Phone Number: | 9374346217 |
Fax Number: | 9374346375 |
NPI Enumeration Date: | 11/05/2012 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E0800290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |