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 19 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.
Popular Providers
-
Dobbins, Blanca
113 Glen Cove Ave , Glen Cove NY 11542-3438 -
Billard, Patricia Mary
9 Dogwood Ln , Glen Head NY 11545-1006 -
Yellin, Steven A
333 Glen Head Rd , Glen Head NY 11545-1947 -
Caggiano, Giovanna
29 Circle Drive , Glen Cove NY 11542 -
Ventur, Elisa
40 Farmstead Ln , Glen Head NY 11545-2634 -
Field, Kevin Stewart
221 N Franklin St Suite 200, Watkins Glen NY 14891-1273 -
Berman, Nicole
80 Glen Head Rd Suite 200, Glen Head NY 11545-1933 -
Eder, Leslie Elizabeth
5 Beechwood Dr , Glen Head NY 11545-1101