Provider Demographics
NPI:1730429739
Name:SCHLOSSER, LEWIS (PHD)
Entity type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:
Last Name:SCHLOSSER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 FIR CT
Mailing Address - Street 2:SUITE 2 (INSTITUTE FOR FORENSIC PSYCHOLOGY)
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1840
Mailing Address - Country:US
Mailing Address - Phone:201-337-4996
Mailing Address - Fax:201-337-8378
Practice Address - Street 1:686 LEXINGTON AVE
Practice Address - Street 2:SUITE #3N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2614
Practice Address - Country:US
Practice Address - Phone:646-342-5480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY16485103TC1900X
NJ4822103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic