Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LELAND W. PETERSEN, PSYCHOLOGIST, P.C.
Active OrganizationClinical Psychologist · GLEN HEAD, NY
Registration Details
- NPI Number
- 1083831408
- Provider Type
- Organization
- NPI Issued
- Apr 19, 2007 (19.048343234875 yrs)
- Last Updated
- Jun 17, 2008
- License
-
05430 (NY)
Practice Information
- Address
-
11 BEECHWOOD DRGLEN HEAD, NY, 115451101Browse NY providers · Browse ZIP 11545
- Phone
- 5166717509
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.