Individual
DR. LEELAN NICHOLAS MICHAEL BHAGWANDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2100 SE HILLMOOR DR STE 201, PORT ST LUCIE, FL 34952-8057
(772) 278-5508
Mailing address
2938 JANET PL, HAMMOND, IN 46323-1137
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY13112
FL
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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