Provider Demographics
NPI:1265657985
Name:LACHMANN, SUZANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:LACHMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 W END AVE
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6138
Mailing Address - Country:US
Mailing Address - Phone:212-787-4039
Mailing Address - Fax:
Practice Address - Street 1:393 W END AVE
Practice Address - Street 2:SUITE 1 A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6138
Practice Address - Country:US
Practice Address - Phone:212-787-4039
Practice Address - Fax:212-721-7249
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013845-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical