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Contact Information

MANJOT D LEAFGREEN, PHD
1821 BUSINESS PARK BLVD
DAYTONA BEACH, FL32114-1230
 Phone: 386-366-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MANJOT D LEAFGREEN · (Female)

NPI # 1558791087
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/19/2013
Last updated 05/10/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY 8213
  • SD License # 457
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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