Provider Demographics
NPI:1073981916
Name:DAVID F. LERNER, PH.D., PLLC
Entity Type:Organization
Organization Name:DAVID F. LERNER, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-405-0521
Mailing Address - Street 1:6717 ELDORADO PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5635
Mailing Address - Country:US
Mailing Address - Phone:214-585-0584
Mailing Address - Fax:214-585-0586
Practice Address - Street 1:6717 ELDORADO PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5635
Practice Address - Country:US
Practice Address - Phone:214-585-0584
Practice Address - Fax:214-585-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2015-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36992103G00000X, 103T00000X, 103TC0700X, 103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty