Individual
DR. ELLEN LANZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2020 HUMBOLDT ST, SANTA ROSA, CA 95404-2454
(510) 825-8203
Mailing address
PO BOX 4781, SANTA ROSA, CA 95402-4781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21647
CA
Other
Enumeration date
03/15/2007
Last updated
04/19/2024
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