Individual
MS. LESLEY B LANDAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1464 DIAMOND HILL RD, CUMBERLAND, RI 02864-5540
(401) 333-3810
(401) 333-1675
Mailing address
1464 DIAMOND HILL RD, CUMBERLAND, RI 02864-5540
(401) 333-3810
(401) 333-1675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00326
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0716
NEIGHBORHOOD
RI
01
—
30491-3
BCBS
RI
01
—
400569
BCHIP
RI
01
—
411814
MEDICARE GROUP
RI
01
—
61-20757
UNITED HEALTH
RI
05
—
LL68177
—
RI
Enumeration date
08/31/2006
Last updated
04/04/2008
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