Provider Demographics
NPI:1972721579
Name:EICHLER, LOIS S (PHD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:S
Last Name:EICHLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 MONADNOCK RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1136
Mailing Address - Country:US
Mailing Address - Phone:617-244-9672
Mailing Address - Fax:
Practice Address - Street 1:93 MONADNOCK RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1136
Practice Address - Country:US
Practice Address - Phone:617-244-9672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA631103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01653Medicare ID - Type Unspecified