Provider Demographics
NPI:1134282700
Name:LEHMAN, JOHN MURRAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MURRAY
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 385
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4669
Mailing Address - Country:US
Mailing Address - Phone:972-437-4599
Mailing Address - Fax:972-437-6641
Practice Address - Street 1:1401 N CENTRAL EXPY
Practice Address - Street 2:SUITE 385
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4669
Practice Address - Country:US
Practice Address - Phone:972-437-4599
Practice Address - Fax:972-437-6641
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24216103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP000N50R0Medicaid
00N50RMedicare UPIN