Individual
DR. LAWRENCE JOSEPH WENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
151 CONKLIN RD, MONROE, NY 10950-3644
(845) 782-0872
(845) 782-2586
Mailing address
151 CONKLIN RD, MONROE, NY 10950-3644
(845) 782-0872
(845) 782-2586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01969951
—
NY
Enumeration date
12/31/2005
Last updated
09/29/2015
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