Provider Demographics
NPI:1366603201
Name:LEHRHOFF, IRWIN (PHD, CCC)
Entity type:Individual
Prefix:
First Name:IRWIN
Middle Name:
Last Name:LEHRHOFF
Suffix:
Gender:M
Credentials:PHD, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15165 VENTURA BLVD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3373
Mailing Address - Country:US
Mailing Address - Phone:818-382-3777
Mailing Address - Fax:818-382-3778
Practice Address - Street 1:15165 VENTURA BLVD
Practice Address - Street 2:SUITE 240
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3373
Practice Address - Country:US
Practice Address - Phone:818-382-3777
Practice Address - Fax:818-382-3778
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 613103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist