Provider Demographics
NPI:1033239009
Name:LESSER, RONNIE CAROL (PHD)
Entity Type:Individual
Prefix:DR
First Name:RONNIE
Middle Name:CAROL
Last Name:LESSER
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 1:58 HARDSCRABBLE LN
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768-3704
Mailing Address - Country:US
Mailing Address - Phone:603-795-4216
Mailing Address - Fax:
Practice Address - Street 1:58 HARDSCRABBLE LN
Practice Address - Street 2:
Practice Address - City:LYME
Practice Address - State:NH
Practice Address - Zip Code:03768-3704
Practice Address - Country:US
Practice Address - Phone:603-795-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHPSY1040103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist