Provider Demographics
NPI:1659368033
Name:LENTZ, RACHEL SUZANNE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SUZANNE
Last Name:LENTZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6197 LEHMAN DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3437
Mailing Address - Country:US
Mailing Address - Phone:719-487-7943
Mailing Address - Fax:877-321-4010
Practice Address - Street 1:6197 LEHMAN DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3437
Practice Address - Country:US
Practice Address - Phone:719-487-7943
Practice Address - Fax:877-321-4010
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3585103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
52119OtherNATIONAL REGISTER OF HEALTH SERVICE PROVIDERS IN PSYCHOLOGY