| Leigh S. Rosenberg, Psy.d. Pllc | |
|
2973 W Sr 434 Ste 400 Longwood FL 32779-4455 | |
| (407) 362-5930 | |
| (407) 362-5930 |
| Full Name | Leigh S. Rosenberg, Psy.d. Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2973 W Sr 434 Ste 400, Longwood, Florida |
| Authorized Official Name and Position | Leigh Scott Rosenberg (PRESIDENT) |
| Authorized Official Contact | 4073625930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh S. Rosenberg, Psy.d. Pllc 2973 W Sr 434 Ste 400 Longwood FL 32779-4455 Ph: (407) 362-5930 | Leigh S. Rosenberg, Psy.d. Pllc 2973 W Sr 434 Ste 400 Longwood FL 32779-4455 Ph: (407) 362-5930 |
| NPI Number | 1093223265 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Medicare PECOS PAC ID | 0244585974 |
|---|---|
| Medicare Enrollment ID | O20180620000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093223265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0003608 (Florida) | Primary |
| Provider Name | Leigh Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952475865 PECOS PAC ID: 5597859678 Enrollment ID: I20200611001379 |
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