NPI 1407256746 · live from the CMS NPI Registry
Lewis Bank, Ph.D., Psychologist
Psychologist in Bend, OR. National Provider Identifier 1407256746, active.
NPI record
| NPI | 1407256746 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1345 Nw Wall St Ste 303, Bend, OR 97703 |
| Practice phone | 503-367-4042 |
| Enumerated | August 22, 2014 |
| Last updated | September 16, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 605 (OR) |
| Clinical Neuropsychologist | 103G00000X | 605 (OR) |
| Behavior Analyst | 103K00000X | 605 (OR) |
| Psychologist primary | 103T00000X | 605 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.