| Dr. Leslie Gavin, Ph.d. Pllc | |
|
1515 S Orlando Ave Ste M Maitland FL 32751-6471 | |
| (407) 701-4516 | |
| Not Available |
| Full Name | Dr. Leslie Gavin, Ph.d. Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1515 S Orlando Ave Ste M, Maitland, Florida |
| Authorized Official Name and Position | Leslie Ann Gavin Devitt (PSYCHOLOGIST) |
| Authorized Official Contact | 4077014516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Leslie Gavin, Ph.d. Pllc 1515 S Orlando Ave Ste M Maitland FL 32751-6471 Ph: (407) 701-4516 | Dr. Leslie Gavin, Ph.d. Pllc 1515 S Orlando Ave Ste M Maitland FL 32751-6471 Ph: (407) 701-4516 |
| NPI Number | 1265087449 |
|---|---|
| Provider Enumeration Date | 08/05/2019 |
| Last Update Date | 08/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265087449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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