Individual
MR. IVAN FLEISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
339 W NEW YORK AVE, DELAND, FL 32720-5425
(386) 736-8337
(386) 736-8336
Mailing address
339 W NEW YORK AVE, DELAND, FL 32720-5425
(386) 736-8337
(386) 736-8336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 3327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75796
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
12/17/2008
Last updated
12/17/2008
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