Individual
MS. GERALDINE M LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
836 FARMINGTON AVE STE 217B, WEST HARTFORD, CT 06119-1545
(860) 522-0665
(860) 278-8338
Mailing address
836 FARMINGTON AVE STE 217B, WEST HARTFORD, CT 06119-1545
(860) 522-0665
(860) 278-8338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000824
CT
103TC0700X
Clinical Psychologist
0063481
NY
103TC0700X
Clinical Psychologist
2419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004230714
AETNA
CT
01
—
006645
VALUE OPTIONS
CT
01
—
060000824CT01
ANTHEM
CT
01
—
P611725
OXFORD
CT
Enumeration date
10/25/2006
Last updated
05/05/2021
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