Provider Demographics
NPI:1053856849
Name:LAFLEUR, LESLIE (PSYD, ATR)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:LAFLEUR
Suffix:
Gender:F
Credentials:PSYD, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 E 124TH ST
Mailing Address - Street 2:UPPR
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1005
Mailing Address - Country:US
Mailing Address - Phone:701-740-7223
Mailing Address - Fax:
Practice Address - Street 1:2460 FAIRMOUNT BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3171
Practice Address - Country:US
Practice Address - Phone:216-425-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7445103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist