Organization
NORTH COUNTRY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESIREE A LEBOEUF PHD (LICENSED PSYCHOLOGIST)
(315) 261-9210
Entity
Organization
Contact information
Practice address
42 1/2 ELM ST, POTSDAM, NY 13676-1813
(315) 261-9210
Mailing address
74 STATE ST, CANTON, NY 13617-1026
(315) 261-9210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022976
NYS DEPT. OF EDU.
NY
05
—
07748561
—
NY
Enumeration date
12/19/2022
Last updated
02/03/2024
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