Provider Demographics
NPI:1558687442
Name:ADLER, LOIS E (PHD)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:E
Last Name:ADLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:LOIS
Other - Middle Name:ADLES
Other - Last Name:LIPTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1311-1327 LEXINGTON AVENUE
Mailing Address - Street 2:SUITE 1I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:212-289-6223
Mailing Address - Fax:212-289-6223
Practice Address - Street 1:1311-1327 LEXINGTON AVE.
Practice Address - Street 2:SUITE 1I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128
Practice Address - Country:US
Practice Address - Phone:212-289-6223
Practice Address - Fax:212-289-6223
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004334-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical