| Ethan Dwight Lantz, | |
|
6020 Broadway St, Quincy, IL 62305-7919 | |
| (217) 224-3366 | |
| Not Available |
| Full Name | Ethan Dwight Lantz |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 6020 Broadway St, Quincy, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518607423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.010740 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Dwight Lantz, 6020 Broadway St, Quincy, IL 62305-7919 Ph: (217) 224-3366 | Ethan Dwight Lantz, 6020 Broadway St, Quincy, IL 62305-7919 Ph: (217) 224-3366 |
Dr. Michael Joseph Schneider, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1231 Maine St, Suite # 1, Quincy, IL 62301 Phone: 217-228-1887 Fax: 217-228-1884 | |
John Joseph Venegoni, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6808 Oak Ridge Ln, Quincy, IL 62305 Phone: 217-430-2234 | |
Sandra Clark, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Brian Bangert, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1416 Maine St, Quincy, IL 62301 Phone: 217-223-8700 | |
Brittney Moore, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 927 Broadway St, Quincy, IL 62301 Phone: 217-224-4453 | |
Alexis Reid, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4900 Columbus Rd, Quincy, IL 62305 Phone: 217-228-7117 |