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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LELAND W PETERSEN, CP

Active Sole Proprietor

Clinical Psychologist · GLEN HEAD, NY

Registration Details

NPI Number
1790902229
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2007 (19.048435919221 yrs)
Last Updated
Oct 31, 2007
License
05430 (NY)
Sole Proprietor
Yes

Practice Information

Address
11 BEECHWOOD DR
GLEN HEAD, NY, 115451101
Browse NY providers · Browse ZIP 11545
Phone
5166717509
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in GLEN HEAD, NY

Name Credential NPI
STEVEN A YELLIN PHD 1558317735
DR. NICOLE BERMAN PSY.D. 1235201906
ELIZABETH ALBRECHT PH.D. 1508922600
DR. AYME TURNBULL PSYD 1497888390
DR. LESLIE ELIZABETH EDER PH.D. 1306054556
DR. PATRICIA MARY BILLARD 1871799155
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.