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Organization

MAHALLA V. LENZI, PSY. D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MAHALLA V LENZI PSY. D. (PSYCHOLOGIST)
(772) 220-3783
Entity
Organization

Contact information

Practice address
211 COLORADO AVE, STE. 6, STUART, FL 34994-2131
(772) 220-3783
(772) 220-8211
Mailing address
211 COLORADO AVE, STE. 6, STUART, FL 34994-2131
(772) 220-3783
(772) 220-8211

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PY3921
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598814816
NPI
FL
Enumeration date
12/24/2015
Last updated
12/24/2015
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