Provider Demographics
NPI:1215189444
Name:KEHRER, ADAM DEAN (MS, CAS)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:DEAN
Last Name:KEHRER
Suffix:
Gender:M
Credentials:MS, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 CENTRAL AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1660
Mailing Address - Country:US
Mailing Address - Phone:716-983-2665
Mailing Address - Fax:
Practice Address - Street 1:311 CENTRAL AVE APT 4
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-1660
Practice Address - Country:US
Practice Address - Phone:716-983-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159676071103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool