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NPI Code Detail

MEDICARE: DR. LEI L. SUN PH.D.

MEDICARE: DR. LEI L. SUN PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling Psychologist
2103TH0100XHealth Service Psychologist
3103TP0814XPsychoanalysis Psychologist
4103T00000XPsychologist

General Provider Information

NPI Number : 1720912348
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEI L. SUN PH.D.
Provider Business Mailing Address
First Line : 21 WESTGATE RD APT 6
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3430
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 WESTGATE RD
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3430
Country : US
Telephone Number : 786-678-8234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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