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Contact Information

LELAND W. PETERSEN, PSYCHOLOGIST, P.C.
11 BEECHWOOD DR
GLEN HEAD, NY11545-1101
 Phone: 516-671-7509
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LELAND W. PETERSEN, PSYCHOLOGIST, P.C.

NPI # 1083831408
LBN Legal business name LELAND W. PETERSEN, PSYCHOLOGIST, P.C.
Authorized official LELAND PETERSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2007
Last updated 06/17/2008 - About 18 years ago
Identifiers
NY License # 05430
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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