Ethan Dwight Lantz
Ethan Dwight Lantz is a Clinical Psychologist in Quincy, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
6020 Broadway StQuincy, IL 62305-7919
Phone: (217) 224-3366
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Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071.010740 (IL) |
|---|
Record details
| NPI number | 1518607423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2022 |
| Last updated in NPPES | March 30, 2022 |
| Certification date | March 30, 2022 |
| Mailing address | 6020 Broadway St, Quincy, IL 62305-7919 |
Other providers in Quincy
-
Sandra Clark, PHD
1025 Maine St, Quincy, IL 62301-4096 · (217) 222-6550
-
Dr. Frank Richard Froman, EDD
1891 Maine St Ste #5, Quincy, IL 62301-4272 · (217) 224-4080
-
Dr. Michael Joseph Schneider, PHD
1231 Maine St Ste # 1, Quincy, IL 62301-4274 · (217) 228-1887