| Doctor Name: | PATRICK LANTZY |
| NPI Number: | 1851431019 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PA PS-005396-L |
| Business Practice Address: | 200 Valley Rd Suite 301 Mt Arlington, NJ - 078561320 |
| Business Phone Number: | 9736010100 |
| Business Fax Number: | 9733382211 |
| Mailing Address: | Po Box 26, CHESTER |
| State: | NJ |
| Postal Code: | 079300026 |
| Phone Number: | 9736010100 |
| Fax Number: | 9733382211 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 05/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PA PS-005396-L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |