LESLIE HELEN LUNDAHL


Address: Jefferson Research Center, 2761 E Jefferson, Detroit, MI 48207
Phone: 8883627792

LESLIE HELEN LUNDAHL (NPI# 1619914272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619914272
Entity Type Individual
Full Name LESLIE HELEN LUNDAHL
Credential PHD
Practice Address Jefferson Research Center
2761 E Jefferson
Detroit
MI 48207
Mailing Address 3800 Woodward Ave
Suite 702
Detroit
MI 48201-2061
Practice Telephone 8883627792
Enumeration Date 2006-06-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 6301011906 MI Behavioral Health & Social Service Providers

Office Location

Street Address JEFFERSON RESEARCH CENTER
2761 E JEFFERSON
City DETROIT
State MI
Zip Code 48207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003853003 Marla Green Bartoi Psychologist Jefferson Research Center, 2761 E Jefferson, Detroit, MI 48207 2006-05-31
1710925839 Timothy D Sheehy Social Worker Jefferson Research Center, 2761 E Jefferson, Detroit, MI 48207 2006-06-02
1881631372 Susan Marie Stine Psychiatry & Neurology Jefferson Research Center, 2761 E Jefferson, Detroit, MI 48207 2006-06-01

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1649831439 Charday Penick Social Worker Team Wellness, 2925 Russell St, Detroit, MI 48207 2019-06-24
1568023349 Alphia Ramona Burgess Social Worker Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 2019-06-24
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1427549955 Mission Point of Detroit, LLC Skilled Nursing Facility 2102 Orleans, Detroit, MI 48207 2018-05-21
1043723737 Olivia Carter Case Management 2712 Gratiot, Detroit, MI 48207 2017-11-16
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285129221 Wayne State University Psychologist 540 E Canfield St Ste 1241, Detroit, MI 48201 2018-06-22
1508362922 Claudia Anagurthi Psychologist Chm/specilty Center, 3950 Beaubien Ground Fl, Detroit, MI 48201 2018-04-04
1992136295 Marilyn Franklin Psychologist 9000 E Jefferson Ave Apt 28-17, Detroit, MI 48214-2940 2013-12-12
1144669318 Julia Helene Bellamy Psychologist 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 2013-06-20
1255675005 Nicole Henriksen Psychologist 4201 Saint Antoine St Ste 4b, Detroit, MI 48201 2012-11-17
1093061517 Kinneta Easter Mason Psychologist 19738 Fielding St, Detroit, MI 48219 2012-08-02
1376859785 Eugene Ronald Craig Psychologist 300 Riverfront Dr, Suite 16 H, Detroit, MI 48226-4516 2010-08-23
1902126725 Dana Raquel Lasenby Psychologist 3434 Russell St, Suite #307, Detroit, MI 48207-2062 2010-06-03
1699004614 Monica Anne Moore Psychologist 18940 Oak Dr, Detroit, MI 48221-2264 2009-12-22
1750610796 Sekai Denard Broaden Psychologist 14952 Rosemont Ave, Detroit, MI 48223-2364 2009-12-22
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Competitor

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City DETROIT
Zip Code 48207

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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