Healthcare Provider Details

I. General information

NPI: 1902032543
Provider Name (Legal Business Name): DR. LILLIAN C. SCHEINER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 06/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 HADDON AVENUE
WESTMONT NJ
08108-2825
US

IV. Provider business mailing address

326 HADDON AVENUE
WESTMONT NJ
08108-2825
US

V. Phone/Fax

Practice location:
  • Phone: 856-854-1430
  • Fax: 856-858-3253
Mailing address:
  • Phone: 856-854-1430
  • Fax: 856-858-3253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number355100111300
License Number StateNJ

VIII. Authorized Official

Name: LILLIAN C. SCHEINER
Title or Position: PRES.
Credential: ED.D
Phone: 856-854-1430