Provider Demographics
NPI:1194931949
Name:LANZA, ANTHONY STEPHEN (LMFT)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:STEPHEN
Last Name:LANZA
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 POND ROAD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-3225
Mailing Address - Country:US
Mailing Address - Phone:203-829-7784
Mailing Address - Fax:203-762-1303
Practice Address - Street 1:94 EAST AVENUE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-829-7784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000526106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist