Petersen, Leland W
Petersen, Leland W is an sole proprietor health care provider with primary practice located at 11 Beechwood Dr , Glen Head NY 11545-1101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Petersen, Leland W can be contacted via phone (516) 671-7509.Contact Information
Primary practice address
11 Beechwood Dr
Glen Head NY 11545-1101
Phone: (516) 671-7509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 05430 | New York |
Profile Details
| NPI number | 1790902229 |
|---|---|
| LBN Legal business name | Petersen, Leland W |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Oct 31st, 2007 - about 17 years 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.
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