Leon Psychological Services Llc | |
9840 Sandalfoot Blvd Boca Raton FL 33428-6645 | |
(786) 250-4169 | |
Not Available |
Full Name | Leon Psychological Services Llc |
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Speciality | Clinic/Center |
Location | 9840 Sandalfoot Blvd, Boca Raton, Florida |
Authorized Official Name and Position | Lissette Leon (OWNER) |
Authorized Official Contact | 7862504169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leon Psychological Services Llc 9840 Sandalfoot Blvd Boca Raton FL 33428-6645 Ph: () - | Leon Psychological Services Llc 9840 Sandalfoot Blvd Boca Raton FL 33428-6645 Ph: (786) 250-4169 |
NPI Number | 1447700026 |
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Provider Enumeration Date | 10/07/2016 |
Last Update Date | 10/07/2016 |
Medicare PECOS PAC ID | 4981986460 |
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Medicare Enrollment ID | O20170117002390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447700026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY9557 (Florida) | Primary |
Provider Name | Lissette Leon Iglesias |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306274865 PECOS PAC ID: 5890077374 Enrollment ID: I20170117002441 |
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