- Practice location
- 1651 Third Avenue, Iptar, Ny, NY 10128
- Phone
- 914-262-3985
- Fax
- 914-723-2731
- Last updated
- January 9, 2017
Leota Susan Branche is a Psychologist, Clinical based in Ny, NY. Leota Susan Branche practices in Ny, NY and has the professional credentials of PHD. The NPI Number for Leota Susan Branche is 1164687364 and holds a License No. 009665 (NY). The current practice location address for Leota Susan Branche is 1651 Third Avenue, Iptar, Ny, NY 10128 and can be reached out via phone at 914-262-3985 and via fax at 914-723-2731.
Provider Profile Details
- NPI Number
- 1164687364
- Provider Name
- Leota Susan Branche
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1651 Third Avenue, Iptar, Ny, NY 10128
- Phone Number
- 914-262-3985
- Fax Number
- 914-723-2731
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Other Names
- Dr. Susan Susan Branche, PHD (Professional Name)
- Provider Enumeration Date
- July 28, 2008
- Last Update Date
- January 9, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1651 Third Avenue
Iptar
Ny, NY 10128 - City
- Ny
- State
- New York
- Zip
- 10128
- Phone Number
- 914-262-3985
- Fax Number
- 914-723-2731
Provider Business Mailing Address Details
- Address
- 10 Old Jackson Ave Unit 19
Hastings On Hudson, NY 10706-3231 - City
- Hastings On Hudson
- State
- NY
- Zip
- 10706-3231
- Phone Number
- 914-262-3985
- Fax Number
- 914-723-2731
License Information
- License Number (1)
- 009665
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 009665-1
- License State (2)
- NY
- Taxonomy (2)
- Psychologist · 103T00000X
- License Number (3)
- 0096651
- License State (3)
- NY
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Ny, NY
View all Psychologist, Clinical providers in Ny →Frequently Asked Questions
What is the NPI number of Dr. Leota S Branche, PHD?
The NPI number of Dr. Leota S Branche, PHD is 1164687364. It was assigned on July 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Leota S Branche, PHD?
Dr. Leota S Branche, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 009665.
Where does Dr. Leota S Branche, PHD practice?
The practice location is 1651 Third Avenue, Iptar, Ny, NY 10128. The office can be reached at 914-262-3985 (phone) or 914-723-2731 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164687364 directly on the NPPES registry website.