Organization
PHOENIX BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE CASE (PRESIDENT)
(727) 736-3496
Entity
Organization
Contact information
Practice address
1944 RIDGEWOOD DR, CLEARWATER, FL 33763-2229
(727) 736-3496
Mailing address
1944 RIDGEWOOD DR, CLEARWATER, FL 33763-2229
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PY7438
FL
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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