Provider Demographics
NPI:1558436709
Name:LEGLER, WHITNEY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:
Last Name:LEGLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 CARDINAL DR
Mailing Address - Street 2:STE A
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1980
Mailing Address - Country:US
Mailing Address - Phone:772-231-5554
Mailing Address - Fax:772-231-5554
Practice Address - Street 1:3003 CARDINAL DR
Practice Address - Street 2:STE A
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32963-1980
Practice Address - Country:US
Practice Address - Phone:772-231-5554
Practice Address - Fax:772-231-5554
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6325103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54666Medicare ID - Type Unspecified
FL25320Medicare UPIN