Doctor Name: | MR. MAKSYM LIDER |
NPI Number: | 1407159296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 5511 |
Business Practice Address: | 7620 Bay Pkwy Suite 1c Brooklyn, NY - 112141532 |
Business Phone Number: | 5163136268 |
Business Fax Number: | |
Mailing Address: | 231 Grant Ave, Unit 18 POMPTON LAKES |
State: | NJ |
Postal Code: | 074421103 |
Phone Number: | 5163136268 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2010 |
NPI Last Update Date: | 07/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |