Individual
DR. LESLIE SHANKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
121 CEDAR LN, TEANECK, NJ 07666-4457
(201) 836-5690
(201) 836-3260
Mailing address
121 CEDAR LN, TEANECK, NJ 07666-4457
(201) 836-5690
(201) 836-3260
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI100227000
NJ
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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