Leboeuf, Desiree A
Leboeuf, Desiree A is an sole proprietor health care provider with primary practice located at 74 State St , Canton NY 13617-1026. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Leboeuf, Desiree A can be contacted via phone (315) 261-9210.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 022976-1 | New York |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | ||
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X |
Profile Details
| NPI number | 1588999460 |
|---|---|
| LBN Legal business name | Leboeuf, Desiree A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2009 |
| Last updated | Feb 3rd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588999460 | NPPES |
| New York | Other | 022976 | LICENSE/CERTIFICATION # |
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