Provider Demographics
NPI:1497289409
Name:DEHOFF, LEANN GALE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEANN
Middle Name:GALE
Last Name:DEHOFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 SOUTH PINE ISLAND ROAD
Mailing Address - Street 2:SUITE 300, UNIT 94
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-860-3742
Mailing Address - Fax:954-901-2767
Practice Address - Street 1:150 SOUTH PINE ISLAND ROAD
Practice Address - Street 2:SUITE 300, UNIT 94
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-860-3742
Practice Address - Fax:954-901-2767
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-17
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18116101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health