| Doctor Name: | DR. ROBERTA LICHTER |
| NPI Number: | 1023251501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYCHOLOGIST |
| License Number: | PSY10657 |
| Business Practice Address: | 14318 Martha St Sherman Oaks, CA - 914014618 |
| Business Phone Number: | 8185158097 |
| Business Fax Number: | 8187808381 |
| Mailing Address: | 15720 Ventura Blvd, Suite 210 ENCINO |
| State: | CA |
| Postal Code: | 914362914 |
| Phone Number: | 8185158097 |
| Fax Number: | 8187808381 |
| NPI Enumeration Date: | 04/13/2009 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY10657 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |