Leslie Weidenman in Providence - Psychologist
Leslie Weidenman - NPI 1104955061
Leslie Weidenman is a Psychologist in Providence, Rhode Island. Leslie Weidenman practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Leslie Weidenman is 1104955061. The last update date is 2007-07-09.
Leslie Weidenman's current location address is 40 Stenton Ave, Providence, Rhode Island. You can contact this provider via phone number 4012746310 and fax number 4014213280. The mailing address for Leslie Weidenman is 40 Stenton Ave, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Weidenman |
|---|---|
| Address | 40 Stenton Ave, Providence, Rhode Island |
| Phone Number | 4012746310 |
| Fax Number | 4014213280 |
| Sole Proprietor | N |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1104955061 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 40 Stenton Ave |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29062741 |
| Phone Number | 4012746310 |
| Fax Number | 4014213280 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS00269 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LW23739 | RI | -- | |
| 30890-2 | RI | BLUE CROSS | |
| 412380 | RI | BLUE CHIP |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leslie Weidenman?
The Leslie Weidenman has been issued the NPI (National Provider Identifier) 1104955061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Leslie Weidenman?
The Leslie Weidenman is situated at 40 Stenton Ave, in the city of Providence, state of RI, with the zip code 29062741.
What is the Leslie Weidenman's area of specialization and corresponding taxonomy classification?
The Leslie Weidenman's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Leslie Weidenman receive the assignment of its 1104955061 from the Centers for Medicare & Medicaid Services?
The Leslie Weidenman was issued its 1104955061 by the Centers for Medicare & Medicaid Services on 2007-03-05.
When was the information related to Leslie Weidenman most recently updated or refreshed?
The details pertaining to the Leslie Weidenman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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