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General NPI Number Information
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NPI Number | 1003377128
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Entity Type | Organization
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Legal Business Name | LENTZ PSYCHOLOGICAL SERVICES, P.C.
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 5855 LEHMAN DR STE 202
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3492
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Country | US
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Telephone | 719-551-9911
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Fax | 719-596-9636
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Provider Business Mailing Address
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Address Line | 5855 LEHMAN DR STE 202
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3492
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Country | US
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Telephone | 719-551-9911
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Fax | 719-596-9636
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACHEL SUZANNE LENTZ
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Credential | PSYD
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Telephone | 719-551-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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