Organization
MAITLAND PSYCHOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANO ANTHONY LELI PHD (OWNER)
(407) 628-5354
Entity
Organization
Contact information
Practice address
500 N. MAITLAND AVE, SUITE 110, MAITLAND, FL 32751
(407) 628-5354
(407) 628-0254
Mailing address
PO BOX 947617, MAITLAND, FL 32794-7617
(407) 628-5354
(407) 628-0254
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY3919
FL
Other
Enumeration date
12/05/2007
Last updated
09/10/2010
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