Provider Demographics
NPI:1568554905
Name:LECHTENBERG, ROBERT H (LSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:H
Last Name:LECHTENBERG
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213-217 N. 4TH STREET
Mailing Address - Street 2:PHILADELPHIA VETERAN'S MULTISERVICE AND EDUCATION CENTE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106
Mailing Address - Country:US
Mailing Address - Phone:215-923-1163
Mailing Address - Fax:
Practice Address - Street 1:213-217 N. 4TH STREET
Practice Address - Street 2:PHILADELPHIA VETERAN'S MULTISERVICE AND EDUCATION CENTE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106
Practice Address - Country:US
Practice Address - Phone:215-923-1163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW006004E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker