Individual
DR. MICHAEL JEFFREY ITZKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
1115 MARIETTA AVE APT 32, LANCASTER, PA 17603-2542
(516) 398-5491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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