Jeffrey Mark Lackner in Amherst - Cognitive & Behavioral

Jeffrey Mark Lackner - NPI 1821293168

Jeffrey Mark Lackner is a Cognitive & Behavioral in Amherst, New York. Jeffrey Mark Lackner practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Jeffrey Mark Lackner is 1821293168. The last update date is 2007-07-08.

Jeffrey Mark Lackner's current location address is Po Box 93, Amherst, New York. You can contact this provider via phone number 7168985671 and fax number 7168983040. The mailing address for Jeffrey Mark Lackner is Po Box 93, Amherst, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Mark Lackner
Address Po Box 93, Amherst, New York
Phone Number 7168985671
Fax Number 7168983040
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1821293168
Provider Enumeration Date 2007-06-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 93
City Amherst
State New York (NY)
Post Code 142260093
Phone Number 7168985671
Fax Number 7168983040

Provider's Primary Taxonomy Detail

Speciality Cognitive & Behavioral
Taxonomy 103Tb0200X
Licence No 12051
Definition:
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25302101 NY UNIVERA
DF1724 NY RR MEDICARE
523299002 NY BLUE CROSS
6108856 NY IHA

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FAQs about Jeffrey Mark Lackner

What is the unique 10-digit identifier code assigned to Jeffrey Mark Lackner by the Centers for Medicare & Medicaid Services?

The Jeffrey Mark Lackner has been issued the NPI (National Provider Identifier) 1821293168 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Jeffrey Mark Lackner's physical address?

The Jeffrey Mark Lackner is physically located at Po Box 93, in the city of Amherst, NY, with the postal code 142260093.

What is the area of specialization for Jeffrey Mark Lackner, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeffrey Mark Lackner is Cognitive & Behavioral, and the corresponding taxonomy code that categorizes this area of expertise is 103Tb0200X.

On what date did the Jeffrey Mark Lackner receive the assignment of its 1821293168 from the Centers for Medicare & Medicaid Services?

The Jeffrey Mark Lackner was issued its 1821293168 by the Centers for Medicare & Medicaid Services on 2007-06-18.

As of what date were the Jeffrey Mark Lackner's details last updated?

The information pertaining to the Jeffrey Mark Lackner, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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