Provider Demographics
NPI:1528084530
Name:LERNER, STEPHEN (PHD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:LERNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 MASSACHUSETTS ST
Mailing Address - Street 2:SUITE 408
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2868
Mailing Address - Country:US
Mailing Address - Phone:785-749-5454
Mailing Address - Fax:785-865-0014
Practice Address - Street 1:1509 CRESCENT RD
Practice Address - Street 2:SUITE 408
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-3119
Practice Address - Country:US
Practice Address - Phone:785-749-5454
Practice Address - Fax:785-865-0014
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS368103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist