Lake Neurodiversity, LLC
Lake Neurodiversity, LLC is a School Psychologist in Leesburg, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
117 N 7th StLeesburg, FL 34748-5115
Phone: (352) 460-1925
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| School Psychologist (primary) | Taxonomy 103TS0200X |
|---|
Record details
| NPI number | 1659157428 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Andrews — Co-Owner · (352) 460-1925 |
| NPI enumerated | September 6, 2023 |
| Last updated in NPPES | September 6, 2023 |
| Certification date | September 6, 2023 |
| Mailing address | 12501 Lake Ridge Cir, Clermont, FL 34711-8585 |
Other providers in Leesburg
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Lake Neurodiversity, LLC
711 W Main St Ste 127, Leesburg, FL 34748-5128 · (352) 460-1925