Provider Demographics
NPI:1679041875
Name:LEHMAN, JUSTIN CARL (PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:CARL
Last Name:LEHMAN
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42009 VICTORY LN
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6269
Mailing Address - Country:US
Mailing Address - Phone:703-777-0800
Mailing Address - Fax:
Practice Address - Street 1:38 GRAPEVINE RD
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25405-3434
Practice Address - Country:US
Practice Address - Phone:304-267-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-06
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1332103T00000X, 103TC0700X
WV2389101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health