Provider Demographics
NPI:1811139512
Name:DOREEN LERNER, PH.D., P.A.
Entity type:Organization
Organization Name:DOREEN LERNER, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,
Authorized Official - Phone:281-412-7231
Mailing Address - Street 1:PO BOX 84167
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0017
Mailing Address - Country:US
Mailing Address - Phone:281-412-7231
Mailing Address - Fax:281-412-9832
Practice Address - Street 1:2225 COUNTY ROAD 90
Practice Address - Street 2:SUITE 201-A
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4890
Practice Address - Country:US
Practice Address - Phone:281-412-7231
Practice Address - Fax:281-412-9832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31856251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health