Organization
LESLEY HULETT-JOHNSON, PSY.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY HULETT-JOHNSON PSY.D. (PRESIDENT)
(407) 234-0670
Entity
Organization
Contact information
Practice address
13106 OULTON CIR, ORLANDO, FL 32832-6132
(407) 234-0670
Mailing address
13106 OULTON CIR, ORLANDO, FL 32832-6132
(407) 234-0670
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PY6910
FL
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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