Individual
DR. LESLIE ALAN FIFERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1501 E CENTRE ST, RAPID CITY, SD 57703-3003
(605) 787-4205
Mailing address
1501 E CENTRE ST, RAPID CITY, SD 57703-3003
(605) 787-4205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
365
SD
Other
Enumeration date
07/01/2006
Last updated
07/09/2007
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