# LEONARD J. SKZYNSKI, PSY.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043742034
- **Authorized official:** DR. LEONARD JOHN SKIZYNSKI PSY.D. (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (321) 284-1840

## Contact information

- **Practice address:** 21 S RANDOLPH AVE, KISSIMMEE, FL 34741-5443
- **Practice address phone:** (321) 284-1840
- **Practice address fax:** (321) 284-1854
- **Mailing address:** 21 S RANDOLPH AVE, KISSIMMEE, FL 34741-5443
- **Mailing address phone:** (321) 284-1840
- **Mailing address fax:** (321) 284-1854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | PY3764 | FL | Yes |

## Other

- **Enumeration date:** 03/30/2017
- **Last updated:** 03/30/2017
