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Organization

DR. LESLIE GAVIN, PH.D. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE ANN GAVIN DEVITT PH.D. (PSYCHOLOGIST)
(407) 701-4516
Entity
Organization

Contact information

Practice address
1515 S ORLANDO AVE STE M, MAITLAND, FL 32751-6471
(407) 701-4516
Mailing address
1515 S ORLANDO AVE STE M, MAITLAND, FL 32751-6471
(407) 701-4516

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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