DR. LESLIE GREEN VANDEVOORT, ED.D. - NPI NUMBER 1417076043
Provider Name: DR. LESLIE GREEN VANDEVOORT, ED.D.
NPI Number: 1417076043
Clasification: Specialist (174400000X)
8700 S KYRENE RD
Phone Number: (480) 783-1785
DR. Leslie Green Vandevoort, ED.D. is a specialist in Tempe, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. The assigned NPI number for this provider is 1417076043 and is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business address is:
8700 S KYRENE RD
Phone: (480) 783-1785
The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/8/2007.
Map - Location of Practice
The following information regarding the scope of practice of this provider is available:
||Entity Type Code
||Provider Last Name Legal Name
||Provider First Name
||Provider Middle Name
||Provider Name Prefix Text
||Provider Credential Text
||Provider First Line Business Practice Location Address
||8700 S KYRENE RD
||Provider Business Practice Location Address City Name
||Provider Business Practice Location Address State Name
||Provider Business Practice Location Address Postal Code
||Provider Business Practice Location Address Country Code If outside U S
||Provider Business Practice Location Address Telephone Number
||Provider Enumeration Date
||Last Update Date
||Provider Gender Code
||Healthcare Provider Taxonomy Code 1
||Healthcare Provider Primary Taxonomy Switch 1
||Is Sole Proprietor
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This page was last updated on: 12/10/2014
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