Provider Demographics
NPI:1699803916
Name:LEHMAN, GAIL LORRAINE (PH D)
Entity type:Individual
Prefix:DR
First Name:GAIL
Middle Name:LORRAINE
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CARLISLE LN
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-1368
Mailing Address - Country:US
Mailing Address - Phone:772-343-1119
Mailing Address - Fax:772-343-1119
Practice Address - Street 1:105 CARLISLE LN
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-1368
Practice Address - Country:US
Practice Address - Phone:772-343-1119
Practice Address - Fax:772-343-1119
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6466103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical