DR. LESLIE GREEN VANDEVOORT, ED.D. - NPI NUMBER 1417076043

Summary

Provider Name: DR. LESLIE GREEN VANDEVOORT, ED.D.

NPI Number: 1417076043

Clasification: Specialist (174400000X)

Address:
8700 S KYRENE RD
TEMPE, AZ
ZIP 85284

Phone Number: (480) 783-1785



Detailed Information

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
TEMPE, AZ
ZIP 85284-108
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

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 174400000X Specialist Yes

NPI Record

No. Field Name Field Value
1 NPI 1417076043
2 Entity Type Code 1
3 Provider Last Name Legal Name VANDEVOORT
4 Provider First Name LESLIE
5 Provider Middle Name GREEN
6 Provider Name Prefix Text DR.
7 Provider Credential Text ED.D.
8 Provider First Line Business Practice Location Address 8700 S KYRENE RD
9 Provider Business Practice Location Address City Name TEMPE
10 Provider Business Practice Location Address State Name AZ
11 Provider Business Practice Location Address Postal Code 852842108
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 4807831785
14 Provider Enumeration Date 3/28/2007
15 Last Update Date 7/8/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 174400000X
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor Y

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This page was last updated on: 12/10/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.