Individual
PATRICK LANTZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 VALLEY RD, SUITE 301, MT ARLINGTON, NJ 07856-1320
(973) 601-0100
(973) 338-2211
Mailing address
PO BOX 26, CHESTER, NJ 07930-0026
(973) 601-0100
(973) 338-2211
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PA PS-005396-L
PA
103TC0700X
Clinical Psychologist
Primary
SI 03721
NJ
Other
Enumeration date
02/07/2007
Last updated
05/19/2008
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