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Individual

BARRY LESSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1244 FORT WASHINGTON AVE, SUITE E, FORT WASHINGTON, PA 19034-1743
(215) 793-9404
Mailing address
1244 FORT WASHINGTON AVE, SUITE E, FORT WASHINGTON, PA 19034-1743

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005657L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0560115000
PERSONAL CHOICE
PA
01
5607330
AETNA
PA
Enumeration date
02/05/2007
Last updated
07/09/2007
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