Dr. Leslie Weidenman
Psychologist Cognitive & Behavioral Psychologist
86 Mount Hope Ave
Providence
, Rhode Island 02906-1648
Dr. Leslie Weidenman
Psychologist Cognitive & Behavioral Psychologist
86 Mount Hope Ave
Providence
, Rhode Island 02906-1648
(401) 421-3280
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Dr. Leslie Weidenman
- 40 Stenton Ave Apt 312
- Providence, RI
- Zip : 02906-2741
- Fax : (401) 421-3280
- Phone : (401) 274-6310
Second Address
- Dr. Leslie Weidenman
- 86 Mount Hope Ave
- Providence, RI
- Zip : 02906-1648
- Fax : (401) 421-3280
- Phone : (401) 274-6310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PS00269 | RI |
| N | 103T00000X | Psychologist | PS00269 | RI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PS00269 | RI |
National Provider Identifier
| NPI | 1104955061 |
|---|---|
| Provider Name | Dr. Leslie Weidenman |
| First Address | Providence, RI 02906-2741 |
| Second Address | Providence, RI 02906-1648 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 30890-2 | BLUE CROSS (01) | RI |
| 412380 | BLUE CHIP (01) | RI |
| LW23739 | (05) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.