National Provider Identifier Database

LEESBURG PSYCHOLOGY
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

LEESBURG PSYCHOLOGY
8529 US HIGHWAY 441
LEESBURG, FL34788-4021
Phone: 352-787-7144
Fax: 352-450-7600
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for LEESBURG PSYCHOLOGY

NPI Number 1710204292
Legal business name
LBN
LEESBURG PSYCHOLOGY
Authorized official EVELYN BAEZ-ROJAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/23/2010
Last updated 05/10/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PY4794
  • FL Other: 59515 BLUE CROSS AND BLUE SHIELD OF FLORIDA

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.

Reviews for LEESBURG PSYCHOLOGY

There are currently no reviews for LEESBURG PSYCHOLOGY


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