Lake Shore Behavioral Health, Inc.
NPI #1134331713 in Lackawanna, New York
Provider Information
- NPI Number
- 1134331713
- Entity Type
- Organization
- Organization Name
- Lake Shore Behavioral Health, Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2600 S PARK AVE
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1504
- Phone
- (716) 842-0440
Authorized Official
- Name
- DR. HOWARD HITZEL, PSY.D.
- Title
- PRESIDENT
- Phone
- (716) 842-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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