Search › New York › 103TC0700X
Leland Petersen, CP
NPI 1790902229 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11 Beechwood Dr
Glen Head, NY 11545 - Phone
- (516) 671-7509
- Organisation at this address
- Leland W. Petersen, Psychologist, P.C.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York