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Dr. Kenneth Christopher Lazzara, PHD
Psychologist in Fort Myers, Florida
NPI 1780820886

Kenneth Christopher Lazzara is a Psychologist based in Fort Myers, FL. Kenneth Christopher Lazzara practices in Fort Myers, FL and has the professional credentials of PHD. The NPI Number for Kenneth Christopher Lazzara is 1780820886 and holds a License No. 6301010699 (Florida).

The current practice location address for Kenneth Christopher Lazzara is 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL and can be reached out via phone at 239-391-7313. You can also correspond with Kenneth Christopher Lazzara through the mailing address at 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL - 33905-7808 (mailing address contact number: 239-391-7313).

Location: 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL, 33905-7808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780820886
Provider Name
Kenneth Christopher Lazzara
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL, 33905-7808
Phone Number
239-391-7313
Fax Number
Provider Enumeration Date
12/20/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
680F333500 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
9160 Forum Corporate Pkwy Ste 350
City
Fort Myers
State
Florida
Zip
33905-7808
Phone Number
239-391-7313
Fax Number
person
Provider Business Mailing Address Details
Address
9160 Forum Corporate Pkwy Ste 350
City
Fort Myers
State
Florida
Zip
33905-7808
Phone Number
239-391-7313
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
6301010699 (Michigan)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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