Provider Demographics
NPI:1467787176
Name:LIGHTNER, EILEEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:
Last Name:LIGHTNER
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 1:273 W UWCHLAN AVE.
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335
Mailing Address - Country:US
Mailing Address - Phone:610-873-4748
Mailing Address - Fax:610-873-4715
Practice Address - Street 1:273 W UWCHLAN AVE.
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335
Practice Address - Country:US
Practice Address - Phone:610-873-4748
Practice Address - Fax:610-873-4715
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001993101YP2500X
PAPS017184103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional