Provider Demographics
NPI:1588971741
Name:LEHMAN, ERICA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:
Last Name:LEHMAN
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:PO BOX 51721
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92619-1721
Mailing Address - Country:US
Mailing Address - Phone:949-910-0092
Mailing Address - Fax:855-779-3627
Practice Address - Street 1:15615 ALTON PARKWAY
Practice Address - Street 2:SUITE 230
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-7306
Practice Address - Country:US
Practice Address - Phone:949-910-0092
Practice Address - Fax:855-779-3627
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26172103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB208375Medicare PIN