| Lesley B Landau, Phd Llc | |
|
2180 Mendon Rd Cumberland RI 02864-3842 | |
| (401) 333-3810 | |
| (401) 333-0675 |
| Full Name | Lesley B Landau, Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2180 Mendon Rd, Cumberland, Rhode Island |
| Authorized Official Name and Position | Lesley B Landau (OWNER) |
| Authorized Official Contact | 4013333810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley B Landau, Phd Llc 2180 Mendon Rd Cumberland RI 02864-3842 Ph: (401) 333-3810 | Lesley B Landau, Phd Llc 2180 Mendon Rd Cumberland RI 02864-3842 Ph: (401) 333-3810 |
| NPI Number | 1083032643 |
|---|---|
| Provider Enumeration Date | 04/01/2014 |
| Last Update Date | 04/01/2014 |
| Medicare PECOS PAC ID | 1052533130 |
|---|---|
| Medicare Enrollment ID | O20141104002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083032643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 326 (Rhode Island) | Primary |
| Provider Name | Lesley B Landau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255443784 PECOS PAC ID: 3971554130 Enrollment ID: I20050204000125 |
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