MEDICARE: DR. LEIGH SCOTT ROSENBERG PSY. 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
1	103T00000X	Psychologist	PY0003608	FL

General Provider Information

NPI Number	:	1952475865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEIGH SCOTT ROSENBERG PSY. D.

Provider Business Mailing Address
First Line	:	108 W CITRUS ST
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2502
Country	:	US
Telephone Number	:	407-682-6330
Fax Number	:	407-682-5972

Provider Business Practice Location Address
First Line	:	2941 W SR 434 STE 300
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-4415
Country	:	US
Telephone Number	:	407-362-5930
Fax Number	:	407-362-5930

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	02/03/2025

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