Provider Demographics
NPI:1750807210
Name:LEHR, RACHEL TERESA (MS)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:TERESA
Last Name:LEHR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SKY EDGE LN
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1013
Mailing Address - Country:US
Mailing Address - Phone:845-519-5252
Mailing Address - Fax:
Practice Address - Street 1:3 SKY EDGE LN
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-1013
Practice Address - Country:US
Practice Address - Phone:845-519-5252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool