Provider Demographics
NPI:1649488016
Name:LESSER, JULIET C (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIET
Middle Name:C
Last Name:LESSER
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 1:132 LARCHMONT AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2869
Mailing Address - Country:US
Mailing Address - Phone:914-834-5777
Mailing Address - Fax:914-834-3437
Practice Address - Street 1:132 LARCHMONT AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2869
Practice Address - Country:US
Practice Address - Phone:914-834-5777
Practice Address - Fax:914-834-3437
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0008607103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical