Provider Demographics
NPI:1316049703
Name:SCHLESINGER, LOUIS B (PHD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:B
Last Name:SCHLESINGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 TOWER DR
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-1008
Mailing Address - Country:US
Mailing Address - Phone:973-762-6431
Mailing Address - Fax:
Practice Address - Street 1:12 TOWER DR
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1008
Practice Address - Country:US
Practice Address - Phone:973-762-6431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1162103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
69819Medicare ID - Type Unspecified