National Provider Identifier

Robert Laurentz, PSY.D.

Robert Laurentz, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Ithaca, NY and a listed phone number of (607) 339-1757.

NPI 1497843437Ithaca, NYClinical Psychologist

Profile Overview

NPI
1497843437
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
October 11, 2006
Last Updated
June 19, 2008

Practice Location

  • 207 E Court St
  • Ithaca, NY 14850-4203

Phone: (607) 339-1757

Mailing Address

  • 9 Yardley Grn
  • Ithaca, NY 14850-1260

Specialties

  • Clinical Psychologist (103TC0700X)
  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1497843437
Entity Type
Individual
Last Name
Laurentz
First Name
Robert
Name Prefix
Dr.
Credential
PSY.D.
Mailing Street Address
9 Yardley Grn
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1260
Mailing Country
US
Practice Street Address
207 E Court St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-4203
Practice Country
US
Practice Phone
(607) 339-1757
Enumeration Date
October 11, 2006
Last Updated
June 19, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X), Clinical Psychologist (103TC0700X)
Other Identifiers
01650279 (NY)