Provider Demographics
NPI:1689743262
Name:LACHER, MAURY (PHD)
Entity Type:Individual
Prefix:DR
First Name:MAURY
Middle Name:
Last Name:LACHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 ALDA DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-5217
Mailing Address - Country:US
Mailing Address - Phone:845-462-7696
Mailing Address - Fax:845-463-3662
Practice Address - Street 1:37 ALDA DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-5217
Practice Address - Country:US
Practice Address - Phone:845-462-7696
Practice Address - Fax:845-463-3662
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006018103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV9C141Medicare ID - Type UnspecifiedMEDICARE PROVIDER