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Individual

DR. LEONARD JOHN SKIZYNSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
21 S RANDOLPH AVE, KISSIMMEE, FL 34741-5443
(407) 847-8375
(407) 847-8450
Mailing address
633 ADRIANE PARK CIR, KISSIMMEE, FL 34744-4902
(407) 847-8375
(407) 847-8450

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3764
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73587
BCBS NUMBER
FL
Enumeration date
01/12/2007
Last updated
05/11/2017
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