Individual
DR. MARY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256-6187
(646) 941-7645
(929) 596-7897
Mailing address
5306 NE 6TH AVE # D15, OAKLAND PARK, FL 33334-3421
(215) 866-6224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11723
FL
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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