Healthcare Provider Details

I. General information

NPI: 1407899008
Provider Name (Legal Business Name): LESLEY HULETT-JOHNSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 TOWN PLAZA CT
WINTER SPRINGS FL
32708-6206
US

IV. Provider business mailing address

1806 TOWN PLAZA CT
WINTER SPRINGS FL
32708-6206
US

V. Phone/Fax

Practice location:
  • Phone: 407-234-0670
  • Fax: 407-695-3674
Mailing address:
  • Phone: 407-234-0670
  • Fax: 407-695-3674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 6910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: