National Provider Identifier

Mark Francis Lenzenweger, PHD

Mark Francis Lenzenweger, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 777-7148.

NPI 1346402765Ithaca, NYClinical Psychologist

Profile Overview

NPI
1346402765
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
June 26, 2008
Last Updated
June 26, 2008

Practice Location

  • 122A West Buffalo St
  • Ithaca, NY 14850

Phone: (607) 777-7148

Mailing Address

  • 420 Utica St
  • Ithaca, NY 14850-3640

Specialties

  • Clinical Psychologist (103TC0700X)
  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1346402765
Entity Type
Individual
Last Name
Lenzenweger
First Name
Mark
Middle Name
Francis
Name Prefix
Prof.
Credential
PHD
Mailing Street Address
420 Utica St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3640
Mailing Country
US
Mailing Phone
(607) 777-7148
Mailing Fax
(607) 777-4890
Practice Street Address
122A West Buffalo St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 777-7148
Practice Fax
(607) 777-4890
Enumeration Date
June 26, 2008
Last Updated
June 26, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Clinical Psychologist (103TC0700X)