Individual
DR. MANJOT DHOOPER LEAFGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1821 BUSINESS PARK BLVD, DAYTONA BEACH, FL 32114-1230
(386) 366-6700
Mailing address
1821 BUSINESS PARK BLVD, DAYTONA BEACH, FL 32114-1230
(386) 366-6700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
457
SD
103TC0700X
Clinical Psychologist
Primary
PY 8213
FL
Other
Enumeration date
11/19/2013
Last updated
05/10/2014
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