Individual
DR. LESLY YANETH BODNAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
(973) 553-1433
Mailing address
5 STORMS DR, MAHWAH, NJ 07430-3177
(201) 803-1502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
TP-183-067
NJ
Other
Enumeration date
08/16/2007
Last updated
10/13/2018
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