Organization
LERNER PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID LERNER PH.D. (PRESIDENT)
(631) 385-7551
Entity
Organization
Contact information
Practice address
150 BROADHOLLOW RD STE 102, MELVILLE, NY 11747-4901
(631) 385-7551
Mailing address
150 BROADHOLLOW RD STE 102, MELVILLE, NY 11747-4901
(631) 385-7551
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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