Suga, Leslie Jay

Suga, Leslie Jay is an individual health care provider with primary practice located at 6515 E 82Nd St Suite 210, Indianapolis IN 46250-1576. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Suga, Leslie Jay can be contacted via phone (317) 559-0990.

Contact Information

Primary practice address
6515 E 82Nd St Suite 210 Indianapolis IN 46250-1576
Phone: (317) 559-0990
Fax: (317) 653-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20040349A Indiana

Profile Details

NPI number 1972595684
LBN Legal business name Suga, Leslie Jay
Credentials PHD HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 25th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972595684 NPPES
Indiana MEDICAID 100376990A
Indiana Other 680013641

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