Phoenix Behavior Services, Llc

NPI 1083770564 - Psychologist - 103TB0200X

NPI Details
NPI 1083770564
Enumeration Date 12/28/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LESLIE LESLIE
Position PRESIDENT
Phone (727) 736-3496
Fax
Practice Location
1944 RIDGEWOOD DR
CLEARWATER FL, 33763-2229, US
Phone (727) 736-3496
Fax
Business Location
1944 RIDGEWOOD DR
CLEARWATER FL, 33763-2229, US
Phone
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State Florida
License Number PY7438
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According to our database, Phoenix Behavior Services, Llc NPI is 1083770564, taxonomy code is 103TB0200X and license number is PY7438, license state is located at Florida. Phoenix Behavior Services, Llc physically located at 1944 Ridgewood Dr, Clearwater FL, 33763-2229. NPI Number 1033115704 has the healthcare provider type.

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1083770564 NPI number is provided on an as is basis without warranty of any kind. 1083770564 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Behavior Services, Llc are for informational purposes only.