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Organization

LESLIE DELONG, PHD, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE B DELONG PHD (PRESIDENT)
(402) 413-6430
Entity
Organization

Contact information

Practice address
650 J ST STE 201, LINCOLN, NE 68508
(402) 413-6430
Mailing address
650 J ST STE 201, LINCOLN, NE 68508-2979
(402) 413-6430

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
576
NE
103TF0000X
Family Psychologist
576
NE
103TP2701X
Group Psychotherapy Psychologist
576
NE

Other

Enumeration date
05/22/2018
Last updated
09/04/2018
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