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Ethan Dwight Lantz
Clinical Psychologist in Quincy, Illinois
NPI 1518607423

Ethan Dwight Lantz is a Clinical Psychologist based in Quincy, IL and is specialized in Clinical. Ethan Dwight Lantz practices in Quincy, IL. The NPI Number for Ethan Dwight Lantz is 1518607423 and holds a License No. 071.010740 (Illinois).

The current practice location address for Ethan Dwight Lantz is 6020 Broadway St, Quincy, IL and can be reached out via phone at 217-224-3366. You can also correspond with Ethan Dwight Lantz through the mailing address at 6020 BROADWAY ST, QUINCY, IL - 62305-7919 (mailing address contact number: 217-224-3366).

Location: 6020 Broadway St, Quincy, IL, 62305-7919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518607423
Provider Name
Ethan Dwight Lantz
Credential
Provider Entity Type
Individual
Gender
Male
Address
6020 Broadway St, Quincy, IL, 62305-7919
Phone Number
217-224-3366
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6020 Broadway St
City
Quincy
State
Illinois
Zip
62305-7919
Phone Number
217-224-3366
Fax Number
person
Provider Business Mailing Address Details
Address
6020 Broadway St
City
Quincy
State
Illinois
Zip
62305-7919
Phone Number
217-224-3366
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071.010740 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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