MEDICARE: DR. LEAH ELAINE OLSHEIN PSY.D., LMFT

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
1	106H00000X	Marriage & Family Therapist	MT 1755	FL

General Provider Information

NPI Number	:	1659351898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH ELAINE OLSHEIN PSY.D., LMFT

Provider Business Mailing Address
First Line	:	8201 PETERS RD
Second Line	:	# 1000
City	:	PLANTATION
State	:	FL
Zip	:	33324-3265
Country	:	US
Telephone Number	:	305-926-5044
Fax Number	:	954-315-0240

Provider Business Practice Location Address
First Line	:	8201 PETERS RD
Second Line	:	# 1000
City	:	PLANTATION
State	:	FL
Zip	:	33324-3265
Country	:	US
Telephone Number	:	305-926-5044
Fax Number	:	954-315-0240

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	03/03/2010

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