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NPI Code Detail

MEDICARE: ADRIANA MONICA LEIS PSYD

MEDICARE: ADRIANA MONICA LEIS PSYD
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
1103G00000XClinical NeuropsychologistPY10315FL

General Provider Information

NPI Number : 1437027596
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANA MONICA LEIS PSYD
Provider Business Mailing Address
First Line : 4336 LAUREL PL
Second Line :
City : WESTON
State : FL
Zip : 33332-4422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1250 E HALLANDALE BEACH BLVD STE 703
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4641
Country : US
Telephone Number : 954-362-8677
Fax Number : 954-458-8167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2025
Last Update Date : 10/29/2025

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Directions to “ ADRIANA MONICA LEIS PSYD” Practice Location

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