Provider Demographics
NPI:1811143332
Name:LEDERER, AARON (NCPSYA)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:LEDERER
Suffix:
Gender:M
Credentials:NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2446
Mailing Address - Country:US
Mailing Address - Phone:973-635-5215
Mailing Address - Fax:973-701-0668
Practice Address - Street 1:244 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2446
Practice Address - Country:US
Practice Address - Phone:973-635-5215
Practice Address - Fax:973-701-0668
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJP981489102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst