Provider Demographics
NPI:1962728204
Name:BETTINA LEHNERT PHD, PLLC
Entity type:Organization
Organization Name:BETTINA LEHNERT PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTINA
Authorized Official - Middle Name:I
Authorized Official - Last Name:LEHNERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-285-7011
Mailing Address - Street 1:10149 N 92ND ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4557
Mailing Address - Country:US
Mailing Address - Phone:480-285-7011
Mailing Address - Fax:480-767-1730
Practice Address - Street 1:10149 N 92ND ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4557
Practice Address - Country:US
Practice Address - Phone:480-285-7011
Practice Address - Fax:480-767-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3233261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)