Provider Demographics
NPI:1902064256
Name:LEHMAN, STEPHANIE SUZANNE (MA, MFT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SUZANNE
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2209 MELFORD CT
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5058
Mailing Address - Country:US
Mailing Address - Phone:818-789-6277
Mailing Address - Fax:805-449-2185
Practice Address - Street 1:15233 VENTURA BLVD
Practice Address - Street 2:SUITE 1217
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2201
Practice Address - Country:US
Practice Address - Phone:818-789-6277
Practice Address - Fax:805-449-2185
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38625106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist