Provider Demographics
NPI:1376944074
Name:WESTERMAN, LESA D (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:LESA
Middle Name:D
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 E 7TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-6077
Mailing Address - Country:US
Mailing Address - Phone:646-236-7921
Mailing Address - Fax:
Practice Address - Street 1:255 E 7TH ST APT 2F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6077
Practice Address - Country:US
Practice Address - Phone:646-236-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY451345921-SPEC. ED.103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst