Individual
DR. LEEANN PAQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
120 WEST AVE STE 208, SARATOGA SPRINGS, NY 12866-6077
(518) 560-9645
Mailing address
120 WEST AVE STE 208, SARATOGA SPRINGS, NY 12866-6077
(518) 560-9645
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017628
NY
103TC0700X
Clinical Psychologist
048-0000705
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03030568
—
NY
05
—
1006115
—
VT
Enumeration date
07/07/2006
Last updated
08/10/2023
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