Organization
HAMMERHEAD PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CHRISTOPHER LAZZARA PHD (SOLE MEMBER)
(239) 391-7313
Entity
Organization
Contact information
Practice address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 391-7313
Mailing address
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905-7808
(239) 391-7313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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