Healthcare Provider Details
I. General information
NPI: 1154013134
Provider Name (Legal Business Name): LERNER AND BELEN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/25/2023
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1404 GABLES CT STE 102
PLANO TX
75075-7647
US
IV. Provider business mailing address
1404 GABLES CT STE 102
PLANO TX
75075-7647
US
V. Phone/Fax
- Phone: 214-548-4803
- Fax: 888-974-0364
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KATRINA
E
BELEN
Title or Position: DIRECTOR
Credential: PSY.D.
Phone: 786-315-6655