Provider Demographics
NPI:1871041186
Name:LERNER, JULIE S (PSY D)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:S
Last Name:LERNER
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 OCEAN BLVD.
Mailing Address - Street 2:SUITE 6H
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716
Mailing Address - Country:US
Mailing Address - Phone:917-648-9610
Mailing Address - Fax:
Practice Address - Street 1:10 OCEAN BLVD.
Practice Address - Street 2:SUITE 6H
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716
Practice Address - Country:US
Practice Address - Phone:917-648-9610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
NJ355100514300103T00000X
NY011260103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist