DR. KENNETH CHRISTOPHER LAZZARA PHD
NPI 1780820886
Psychologist in Fort Myers, FL

Active since December 20, 2008
9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL 33905(239) 391-7313 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Christopher Lazzara Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH CHRISTOPHER LAZZARA PHD (NPI 1780820886) is an individual psychologist in Fort Myers, Florida, licensed in Florida (PY11760) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1780820886
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KENNETH CHRISTOPHER LAZZARACredential: PHD
Location Address9160 FORUM CORPORATE PKWY STE 350Fort Myers, FL 33905-7808
Mailing Address9160 Forum Corporate Pkwy Ste 350Fort Myers, FL 33905-7808 · (239) 391-7313
Sole ProprietorYes
Enumeration DateDecember 20, 2008
Last NPPES UpdateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
NPI 1780820886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in FL · PY11760 Licensed in MI · 6301010699
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9160 FORUM CORPORATE PKWY STE 350, Fort Myers, FL 33905

Other Identifiers 1

Other680F333500MI · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Behavior Technician
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Home Health Aide
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Internal Medicine (Hematology & Oncology)
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Behavior Analyst
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Technician/Technologist (Optician)
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Behavior Technician
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905
Behavior Technician
9160 FORUM CORPORATE PKWY STE 350
FORT MYERS, FL 33905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Lazzara's NPI number?

The NPI number for Kenneth Lazzara is 1780820886. It was assigned to this individual provider in the NPPES registry on December 20, 2008.

Where is Kenneth Lazzara located?

Kenneth Lazzara practices at 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905. The listed phone number is (239) 391-7313.

What is Kenneth Lazzara's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Lazzara was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.