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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

LESLIE S BOURNE, PHD
630 PLANTATION ST
WORCESTER, MA01605
 Phone: 508-856-0732
 Fax: 508-853-7149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LESLIE S BOURNE · (Female)

NPI Number 1295713113
Credentials PHD
Entity Individual
Enumeration date 01/03/2006
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
MA License # 4993
MA Medicare (Unspecified) W50128
Other 3690555 AETNA US HEALTHCARE
Other W05547 BLUE CARE ELECT
Other W05547 BLUE SHIELD HMO BLUE
Other W05547 BLUE SHIELD INDEMNITY
Other 86903 CHILDRENS MEDICAL SECURIT
Other 1033725 CIGNA HEALTH PLAN
Other 990038 FALLON COMMUNITY HEALTH P
Other 2044402 FIRST HEALTH
Other W50128 MEDICARE B
Other 787395 MVP HEALTH CARE
Hospital affiliation(s) n/a
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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