Leah Marion Desole in New York - Psychologist
Leah Marion Desole - NPI 1104859636
Leah Marion Desole is a Psychologist in New York, New York. Leah Marion Desole practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Leah Marion Desole is 1104859636. The last update date is 2007-07-08.
Leah Marion Desole's current location address is 528 W 111th St, New York, New York. You can contact this provider via phone number 9177575422. The mailing address for Leah Marion Desole is 528 W 111th St, New York, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leah Marion Desole |
|---|---|
| Address | 528 W 111th St, New York, New York |
| Phone Number | 9177575422 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104859636 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 528 W 111th St |
|---|---|
| City | New York |
| State | New York (NY) |
| Post Code | 100251977 |
| Phone Number | 9177575422 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 15880 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code assigned to Leah Marion Desole by the Centers for Medicare & Medicaid Services?
The Leah Marion Desole has been issued the NPI (National Provider Identifier) 1104859636 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Leah Marion Desole located?
The Leah Marion Desole is located at 528 W 111Th St, New York, NY 100251977.
What is Leah Marion Desole's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Leah Marion Desole is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.
On what date did the Leah Marion Desole receive the assignment of its 1104859636 from the Centers for Medicare & Medicaid Services?
The Leah Marion Desole was issued its 1104859636 by the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date were the details related to Leah Marion Desole most recently updated or revised?
The information pertaining to Leah Marion Desole, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH