Leslie Jay Suga in Indianapolis - Clinical Neuropsychologist
Leslie Jay Suga - NPI 1972595684
Leslie Jay Suga is a Clinical Neuropsychologist in Indianapolis, Indiana. Leslie Jay Suga practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Leslie Jay Suga is 1972595684. The last update date is 2014-10-25.
Leslie Jay Suga's current location address is 6515 E 82nd St, Indianapolis, Indiana. You can contact this provider via phone number 3175590990 and fax number 3176536405. The mailing address for Leslie Jay Suga is 6515 E 82nd St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Jay Suga |
|---|---|
| Address | 6515 E 82nd St, Indianapolis, Indiana |
| Phone Number | 3175590990 |
| Fax Number | 3176536405 |
| Sole Proprietor | N |
| Credentials | PHD HSPP |
NPI Number Detail
| NPI Number | 1972595684 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2014-10-25 |
Provider Mailing Address Detail
| Address | 6515 E 82nd St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462501576 |
| Phone Number | 3175590990 |
| Fax Number | 3176536405 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 20040349A |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100376990A | IN | -- | |
| 680013641 | IN | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leslie Jay Suga by the Centers for Medicare & Medicaid Services?
The Leslie Jay Suga has been issued the NPI (National Provider Identifier) 1972595684 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Leslie Jay Suga is located?
The Leslie Jay Suga is situated at the following address: 6515 E 82Nd St, Indianapolis, IN, 462501576.
What is Leslie Jay Suga's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leslie Jay Suga's area of specialization is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this field of practice is 103G00000X.
When did the Leslie Jay Suga receive its 1972595684?
The Leslie Jay Suga was issued its 1972595684 on 2005-08-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Leslie Jay Suga, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leslie Jay Suga, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-10-25.