Provider Demographics
NPI:1861586869
Name:LEFER, BETTY (PHD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:
Last Name:LEFER
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 1:252 OLD NYACK TPKE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5741
Mailing Address - Country:US
Mailing Address - Phone:845-426-3744
Mailing Address - Fax:845-352-4975
Practice Address - Street 1:252 OLD NYACK TPKE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5741
Practice Address - Country:US
Practice Address - Phone:845-426-3744
Practice Address - Fax:845-352-4975
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9387103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY141763OtherVALUEOPTIONS
NY171738000OtherMAGELLAN BEHAVIORAL HEALT
NY5096719OtherAETNA US HEALTHCARE
NY6802327OtherGHI
NYP1902103OtherOXFORD HEALTH PLANS
NY113942551OtherUNITED BEHAVIORAL HEALTH
NY01478133Medicaid