Individual
PROF. MARK FRANCIS LENZENWEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
122A WEST BUFFALO ST, ITHACA, NY 14850
(607) 777-7148
(607) 777-4890
Mailing address
420 UTICA ST, ITHACA, NY 14850-3640
(607) 777-7148
(607) 777-4890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
009577
NY
103TC0700X
Clinical Psychologist
7378
MA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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