Individual
MATTHEW DANIEL LERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3440 MARKET ST, PHILADELPHIA, PA 19104-3325
(215) 590-7532
Mailing address
3440 MARKET ST, PHILADELPHIA, PA 19104-3325
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS018994
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2020
Last updated
04/03/2020
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