Provider Demographics
NPI:1770853814
Name:LEHRMAN, DANIEL ALBERT (MA, NCPSYA, LP)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ALBERT
Last Name:LEHRMAN
Suffix:
Gender:M
Credentials:MA, NCPSYA, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 MAYHEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-1201
Mailing Address - Country:US
Mailing Address - Phone:845-367-2271
Mailing Address - Fax:
Practice Address - Street 1:24 E 12TH ST RM 601
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4552
Practice Address - Country:US
Practice Address - Phone:845-367-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000879102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000879OtherPSYCHOANALYST LICENSE