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Leslie Jay Suga, PHDHSPP
Clinical Neuropsychologist in Indianapolis, Indiana
NPI 1972595684

Leslie Jay Suga is a Clinical Neuropsychologist based in Indianapolis, IN. Leslie Jay Suga practices in Indianapolis, IN and has the professional credentials of PHDHSPP. The NPI Number for Leslie Jay Suga is 1972595684 and holds a License No. 20040349A (Indiana).

The current practice location address for Leslie Jay Suga is 6515 E 82Nd St, Indianapolis, IN and can be reached out via phone at 317-559-0990 and via fax at 317-653-6405. You can also correspond with Leslie Jay Suga through the mailing address at 8539 TIDEWATER DR, INDIANAPOLIS, IN - 46236-8917 (mailing address contact number: ).

Location: 6515 E 82Nd St, Indianapolis, IN, 46236-8917
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Provider Profile Details
NPI Number
1972595684
Provider Name
Leslie Jay Suga
Credential
PHDHSPP
Provider Entity Type
Individual
Gender
Male
Address
6515 E 82Nd St, Indianapolis, IN, 46236-8917
Phone Number
317-559-0990
Fax Number
317-653-6405
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100376990A 05 IN
680013641 01 IN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
6515 E 82Nd St
City
State
Zip
46250-1576
Phone Number
317-559-0990
Fax Number
317-653-6405
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Provider Business Mailing Address Details
Address
8539 Tidewater Dr
City
State
Zip
46236-8917
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
20040349A (Indiana)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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