Provider Demographics
NPI:1588619514
Name:LERNER, DOREEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOREEN
Middle Name:
Last Name:LERNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 COUNTY ROAD 90
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4890
Mailing Address - Country:US
Mailing Address - Phone:281-412-7231
Mailing Address - Fax:
Practice Address - Street 1:2225 COUNTY ROAD 90
Practice Address - Street 2:SUITE 201A
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4890
Practice Address - Country:US
Practice Address - Phone:281-412-7231
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31856103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00657PMedicare ID - Type Unspecified