Provider Demographics
NPI:1407319205
Name:LICHTMAN & LICHTMAN LLC
Entity Type:Organization
Organization Name:LICHTMAN & LICHTMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-650-4752
Mailing Address - Street 1:60 STANFORD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2048
Mailing Address - Country:US
Mailing Address - Phone:973-650-4752
Mailing Address - Fax:973-669-3483
Practice Address - Street 1:60 STANFORD AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2048
Practice Address - Country:US
Practice Address - Phone:973-650-4752
Practice Address - Fax:973-669-3483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty