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Provider Information for 1861190852


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Dr. BRENDA LERNER Psy.D., R.N.


Other Names:  
Professional Name: 
Dr. BRENDA GOLDWATER LERNER Psy.D., R.N., P.A.

Sex: Female

NPI: 1861190852
Last Updated: 2023-02-20
Certification Date: 2023-02-19

Details

NameValue
NPI1861190852
Enumeration Date2023-02-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1021 NE 113TH ST # 1
BISCAYNE PARK, FL 33161-6731
United States

Phone: 954-328-7109 | Fax:
 
Primary Practice Address 1021 NE 113TH ST # 1
BISCAYNE PARK, FL 33161-6731
United States

Phone: 954-328-7109 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 163W00000X - Registered Nurse FLRN1070222
Yes 103T00000X - Psychologist FLPY8474