Martha J Le Blanc
Addiction Psychologist (Substance Use Disorder)
110 Main St
Mineola
, New York 11501-4000
Martha J Le Blanc
Addiction Psychologist (Substance Use Disorder)
110 Main St
Mineola
, New York 11501-4000
(516) 747-2556
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Martha J Le Blanc
- 110 Main St
- Mineola, NY
- Zip : 11501-4000
- Fax : (516) 747-2556
- Phone : (516) 747-5644
Second Address
- Martha J Le Blanc
- 110 Main St
- Mineola, NY
- Zip : 11501-4000
- Fax : (516) 747-2556
- Phone : (516) 747-5644
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 11932 | NY |
National Provider Identifier
| NPI | 1366868127 |
|---|---|
| Provider Name | Martha J Le Blanc |
| First Address | Mineola, NY 11501-4000 |
| Second Address | Mineola, NY 11501-4000 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2014 |
| Last Update Date | 17/03/2014 |
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.