Individual
LEILA TERESITA CHARLEMAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3601 FEDERAL HWY, MIAMI, FL 33137-3795
(305) 567-6611
(305) 576-0008
Mailing address
700 8TH AVE W STE 101, PALMETTO, FL 34221-4737
(941) 845-4905
(941) 845-4963
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 7299
FL
103TC0700X
Clinical Psychologist
PY7299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768803200
—
FL
01
—
PY7299
LICENSE
FL
Enumeration date
05/04/2006
Last updated
02/16/2022
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