Provider Demographics
NPI:1700454782
Name:LEHRER, MADELINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:
Last Name:LEHRER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MADELINE
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:4 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-1310
Mailing Address - Country:US
Mailing Address - Phone:585-770-7190
Mailing Address - Fax:
Practice Address - Street 1:4 SOUTH ST
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1310
Practice Address - Country:US
Practice Address - Phone:585-770-7190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
COPSYC.00015302103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program