National Provider Identifier
Jeffrey Mark Lackner, PSY.D.
Jeffrey Mark Lackner, PSY.D. is listed in the NPPES registry with a primary specialty of Cognitive & Behavioral Psychologist in Buffalo, NY and a listed phone number of (716) 898-5671.
Profile Overview
- NPI
- 1821293168
- Provider Type
- Individual
- Primary Specialty
- Cognitive & Behavioral Psychologist
- Enumeration Date
- June 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 462 Grider St
- Room G208
- Buffalo, NY 14215-3021
Phone: (716) 898-5671
Mailing Address
- PO Box 93
- Amherst, NY 14226-0093
Specialties
- Cognitive & Behavioral Psychologist (103TB0200X)
Full Record
- NPI
- 1821293168
- Entity Type
- Individual
- Last Name
- Lackner
- First Name
- Jeffrey
- Middle Name
- Mark
- Credential
- PSY.D.
- Mailing Street Address
- PO Box 93
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-0093
- Mailing Country
- US
- Mailing Phone
- (716) 898-5671
- Mailing Fax
- (716) 898-3040
- Practice Street Address
- 462 Grider St
- Practice Address Line 2
- Room G208
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-5671
- Practice Fax
- (716) 898-3040
- Enumeration Date
- June 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cognitive & Behavioral Psychologist (103TB0200X)
- Other Identifiers
- 00025302101 (NY, Univera), DF1724 (NY, Rr Medicare), 000523299002 (NY, Blue Cross), 6108856 (NY, Iha)