Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN DWIGHT LANTZ
ActiveETHAN DWIGHT LANTZ is a Clinical Psychologist healthcare provider located in QUINCY, Illinois. NPI 1518607423 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · QUINCY, IL
Registration Details
- NPI Number
- 1518607423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2022 (4.3454832438954 yrs)
- Last Updated
- Mar 30, 2022
- License
-
071.010740 (IL)
Practice Information
- Address
-
6020 BROADWAY STQUINCY, IL, 623057919Browse IL providers · Browse ZIP 62305
- Phone
- 2172243366
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in QUINCY, IL
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK RICHARD FROMAN | ED.D. | 1831184290 |
| DR. MICHAEL JOSEPH SCHNEIDER | PH.D. | 1073598637 |
| MS. MARIANNE LESLIE MCCLAIN | M.A. | 1396906392 |
| SANDRA CLARK | PHD | 1235602293 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.