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Individual

LARRY J LANTINGA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-3487
(315) 425-3447
Mailing address
63 CHAPEL WOODS W, WILLIAMSVILLE, NY 14221-1851
(716) 639-0657

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
007331-1
NY

Other

Enumeration date
06/01/2006
Last updated
07/08/2007
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