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Individual

DR. LEANNA ISSERLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, FRCPC

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81390
ZZ
2084P0804X
Child & Adolescent Psychiatry Physician
81390
ZZ

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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