Provider Demographics
NPI:1275938938
Name:EICHLER, LAURIE JEAN
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:JEAN
Last Name:EICHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40925 COUNTY CENTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-6054
Mailing Address - Country:US
Mailing Address - Phone:951-600-6300
Mailing Address - Fax:951-600-6377
Practice Address - Street 1:40925 COUNTY CENTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-6054
Practice Address - Country:US
Practice Address - Phone:951-600-6300
Practice Address - Fax:951-600-6377
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health