Individual
DR. JOHANNA LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
635 W 165TH ST RM 635, NEW YORK, NY 10032-3724
(646) 541-5216
Mailing address
9 JOSEPH WALLACE DR, CROTON ON HUDSON, NY 10520-3408
(646) 541-5216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017118-1
NY
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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