Provider Demographics
NPI:1255647095
Name:OLIVERA FIGUEROA, LENING ALEXIS (PSYD)
Entity type:Individual
Prefix:DR
First Name:LENING
Middle Name:ALEXIS
Last Name:OLIVERA FIGUEROA
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 RUE DESEVE
Mailing Address - Street 2:APT 1
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H4E2A9
Mailing Address - Country:CA
Mailing Address - Phone:1514-442-6131
Mailing Address - Fax:1514-762-3049
Practice Address - Street 1:1660 RUE DESEVE
Practice Address - Street 2:APT 1
Practice Address - City:MONTREAL
Practice Address - State:QUEBEC
Practice Address - Zip Code:H4E2A9
Practice Address - Country:CA
Practice Address - Phone:1514-442-6131
Practice Address - Fax:1514-762-3049
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3607103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist