Provider Demographics
NPI:1073139259
Name:PAUL LEHRER PHD, LLC
Entity Type:Organization
Organization Name:PAUL LEHRER PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEHRER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:732-230-3532
Mailing Address - Street 1:5 ROCHELLE DR
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1405
Mailing Address - Country:US
Mailing Address - Phone:732-230-3532
Mailing Address - Fax:732-297-1413
Practice Address - Street 1:4105 US HIGHWAY 1 STE 11
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2157
Practice Address - Country:US
Practice Address - Phone:732-230-3532
Practice Address - Fax:732-297-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty