Provider Demographics
NPI:1942495411
Name:LEHRER, PAUL DOUGLAS (LICSW, LMFT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:DOUGLAS
Last Name:LEHRER
Suffix:
Gender:M
Credentials:LICSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6607 18TH AVE S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2784
Mailing Address - Country:US
Mailing Address - Phone:612-798-7373
Mailing Address - Fax:612-243-3615
Practice Address - Street 1:6607 18TH AVE S
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2784
Practice Address - Country:US
Practice Address - Phone:612-798-7373
Practice Address - Fax:612-243-3615
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical