Provider Demographics
NPI:1124226436
Name:LESLIE A. RAINALDI, INC.
Entity Type:Organization
Organization Name:LESLIE A. RAINALDI, INC.
Other - Org Name:CORPORATE LEARNING SOLUTIONS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RAINALDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:727-667-0693
Mailing Address - Street 1:366 VENTURA DR
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-4600
Mailing Address - Country:US
Mailing Address - Phone:727-667-0693
Mailing Address - Fax:813-250-9852
Practice Address - Street 1:1006 W PLATT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2116
Practice Address - Country:US
Practice Address - Phone:727-667-0693
Practice Address - Fax:813-250-9852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSY 7482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty