Individual
LESLIE ANN HAZEL-FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
120 BEACH 26TH ST, APT 805, FAR ROCKAWAY, NY 11691-2238
(305) 812-2902
(305) 812-2902
Mailing address
120 BEACH 26TH ST, APT 805, FAR ROCKAWAY, NY 11691-2238
(305) 812-2902
(305) 812-2902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68021989
NY
Other
Enumeration date
01/17/2017
Last updated
10/10/2017
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