Individual
DR. LESLIE A. GAVIN-DEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1717 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-2944
(407) 650-7000
(407) 650-7124
Mailing address
NEMOURS CHILDREN&APOS S CLINIC, P.O. BOX 409992, ATLANTA, GA 30384-0001
(904) 390-3610
(904) 288-5890
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY5787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768880600
—
FL
Enumeration date
08/29/2006
Last updated
05/16/2008
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