Provider Demographics
NPI:1588964324
Name:SCHER LISA, JESSICA AUDREY (PSYD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:AUDREY
Last Name:SCHER LISA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S JERSEY AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-2034
Mailing Address - Country:US
Mailing Address - Phone:516-906-7846
Mailing Address - Fax:631-489-0100
Practice Address - Street 1:100 S JERSEY AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-2034
Practice Address - Country:US
Practice Address - Phone:516-906-7846
Practice Address - Fax:631-489-0100
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018888103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent