| Leesburg Psychology | |
|
8529 Us Highway 441 Leesburg FL 34788-4021 | |
| (352) 787-7144 | |
| (352) 450-7600 |
| Full Name | Leesburg Psychology |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8529 Us Highway 441, Leesburg, Florida |
| Authorized Official Name and Position | Evelyn R. Baez-rojas (OWNER) |
| Authorized Official Contact | 3527877144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Psychology 8529 Us Highway 441 Leesburg FL 34788-4021 Ph: (352) 787-7144 | Leesburg Psychology 8529 Us Highway 441 Leesburg FL 34788-4021 Ph: (352) 787-7144 |
| NPI Number | 1710204292 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710204292 | NPI | - | NPPES |
| 59515 | Other | FL | BLUE CROSS AND BLUE SHIELD OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4794 (Florida) | Primary |
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