LELAND PETERSEN, CP
Psychologist - Clinical
Active
Individual
NPI: 1790902229
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 05430 (NY) |
Frequently Asked Questions
NPI 1790902229 is the National Provider Identifier for LELAND PETERSEN, CP, a Psychologist - Clinical provider located in Glen Head, NY. This NPI was enumerated on April 19, 2007.
LELAND PETERSEN, CP practices at 11 BEECHWOOD DR, Glen Head, NY 11545.
Quick Facts
- NPI
- 1790902229
- Type
- Individual
- Enumerated
- Apr 19, 2007
- Last Updated
- Oct 31, 2007
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