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Contact Information

ROBERT J LENTZ, PhD
2506 GALEN DR
SUITE 103
CHAMPAIGN, IL61821-7046
 Phone: 217-398-0744
 Fax: 217-398-0778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT J LENTZ · (Male)

NPI Number 1356334536
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/23/2005
Last updated 09/17/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 071-001721
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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