Individual
DR. LESLIE MICHELLE DIAZ-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8890 W OAKLAND PARK BLVD, SUNRISE, FL 33351-7235
(954) 742-7032
Mailing address
10419 NW 82ND ST UNIT 4, DORAL, FL 33178-4093
(787) 299-6873
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
FL
103TC0700X
Clinical Psychologist
Primary
PY10504
FL
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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