Individual
DR. ALBERT LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-3285
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004818L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015110980002
—
PA
05
—
01518616
—
NY
01
—
680014137
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
Enumeration date
02/01/2006
Last updated
03/04/2021
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