Leland W. Petersen, Psychologist, P.c.

NPI 1083831408 - Psychologist - 103TC0700X

NPI Details
NPI 1083831408
Enumeration Date 04/19/2007
Last Updated 06/17/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LELAND WALTER LELAND
Position PRESIDENT
Phone (516) 671-7509
Fax
Practice Location
11 BEECHWOOD DR
GLEN HEAD NY, 11545-1101, US
Phone (516) 671-7509
Fax
Business Location
11 BEECHWOOD DR
GLEN HEAD NY, 11545-1101, US
Phone (516) 671-7509
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 05430
Remove 1083831408 NPI Number
 

According to our database, Leland W. Petersen, Psychologist, P.c. NPI is 1083831408, taxonomy code is 103TC0700X and license number is 05430, license state is located at New York. Leland W. Petersen, Psychologist, P.c. physically located at 11 Beechwood Dr, Glen Head NY, 11545-1101. NPI Number 1033115704 has the healthcare provider type.

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1083831408 NPI number is provided on an as is basis without warranty of any kind. 1083831408 is maintained by the National Plan & Provider Enumeration System. The contents of Leland W. Petersen, Psychologist, P.c. are for informational purposes only.