Doctor Name: | DR. LEWIS A LAZARUS |
NPI Number: | 1891726071 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS-008682-L |
Business Practice Address: | 2301 E Evesham Rd Ste 209 Voorhees, NJ - 080434509 |
Business Phone Number: | 8567725874 |
Business Fax Number: | 8567722318 |
Mailing Address: | 2301 E Evesham Rd Ste 209, VOORHEES |
State: | NJ |
Postal Code: | 080434509 |
Phone Number: | 8567725874 |
Fax Number: | 8567722318 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS-008682-L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |