Lake Neurodiversity, LLC
Lake Neurodiversity, LLC is a School Psychologist in Leesburg, Florida. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
711 W Main St Ste 127Leesburg, FL 34748-5128
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 | 1790544658 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Andrews — Co-Owner, Psychologist · (352) 348-6989 |
| NPI enumerated | March 14, 2024 |
| Last updated in NPPES | March 14, 2024 |
| Certification date | March 14, 2024 |
| Mailing address | 711 W Main St Ste 127, Leesburg, FL 34748-5128 |
Other providers in Leesburg
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Lake Neurodiversity, LLC
117 N 7th St, Leesburg, FL 34748-5115 · (352) 460-1925