Individual
DR. LAKSHYAN SCHANZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
60 SHIRLEY BLVD, CRANSTON, RI 02910-3326
(401) 369-8115
Mailing address
60 SHIRLEY BLVD, CRANSTON, RI 02910-3326
(401) 369-8115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6385
MA
103TC0700X
Clinical Psychologist
Primary
PS00490
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3346-4
BCBSRI
RI
01
—
410236
BLUE CHIP
RI
01
—
61-99718
UNITED HEALTH ID
RI
Enumeration date
06/25/2006
Last updated
07/08/2007
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