Individual
DR. LESLIE WEIDENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
86 MOUNT HOPE AVE, PROVIDENCE, RI 02906-1648
(401) 274-6310
(401) 421-3280
Mailing address
40 STENTON AVE, APT 312, PROVIDENCE, RI 02906-2741
(401) 274-6310
(401) 421-3280
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS00269
RI
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS00269
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30890-2
BLUE CROSS
RI
01
—
412380
BLUE CHIP
RI
05
—
LW23739
—
RI
Enumeration date
03/05/2007
Last updated
09/11/2025
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