Provider Demographics
NPI:1023727773
Name:LSL PSYCHOLOGICAL SERVICES, P.A.
Entity type:Organization
Organization Name:LSL PSYCHOLOGICAL SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:228-265-5144
Mailing Address - Street 1:4044 BEACON AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-9826
Mailing Address - Country:US
Mailing Address - Phone:228-265-5144
Mailing Address - Fax:228-263-3693
Practice Address - Street 1:4044 BEACON AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-9826
Practice Address - Country:US
Practice Address - Phone:228-265-5144
Practice Address - Fax:228-263-3693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty