| Leon Psychological Services Llc | |
|
9840 Sandalfoot Blvd Boca Raton FL 33428-6645 | |
| (786) 250-4169 | |
| Not Available |
| Full Name | Leon Psychological Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9840 Sandalfoot Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Lissette Leon (OWNER) |
| Authorized Official Contact | 7862504169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leon Psychological Services Llc 9840 Sandalfoot Blvd Boca Raton FL 33428-6645 Ph: () - | Leon Psychological Services Llc 9840 Sandalfoot Blvd Boca Raton FL 33428-6645 Ph: (786) 250-4169 |
| NPI Number | 1447700026 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/07/2016 |
| Medicare PECOS PAC ID | 4981986460 |
|---|---|
| Medicare Enrollment ID | O20170117002390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447700026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PY9557 (Florida) | Primary |
| Provider Name | Lissette Leon Iglesias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306274865 PECOS PAC ID: 5890077374 Enrollment ID: I20170117002441 |
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