Individual
DR. TERENCE W LELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1235 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5007
(850) 402-1976
(850) 385-7978
Mailing address
1235 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5007
(850) 402-1976
(850) 385-7978
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 3874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73421
PROVIDER GROUP NUMBER
FL
Enumeration date
08/17/2006
Last updated
07/08/2007
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