Organization
NEUROPSYCHOLOGY CLINIC, P.C.
Active
Organization
NEUROPSYCHOLOGY CLINIC, P.C.
Active
Other names
Leslie D. Rosenstein
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE DEE ROSENSTEIN PH.D. (PRESIDENT/OWNER)
(512) 454-9429
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, SUITE 421, AUSTIN, TX 78731-6400
(512) 454-9429
Mailing address
1600 W 38TH ST, SUITE 421, AUSTIN, TX 78731-6400
(512) 454-9429
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24575
TX
261QM0850X
Adult Mental Health Clinic/Center
24575
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
24575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7371198
AETNA
TX
Enumeration date
08/31/2006
Last updated
03/23/2009
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