Leslie J Suga
SUGA NEUROPSYCHOLOGICAL SERVICES, LLC


Address: 6296 Rucker Rd, Indianapolis, IN 46220-4888
Phone: 3178239155

Leslie J Suga (NPI# 1972595684, PAC ID# 0042405516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.

Physician Overview

Nation Provider ID (NPI) 1972595684
PAC ID by PECOS 0042405516
Professional Enrollment ID I20101110000090
Full Name Leslie J Suga
Organization Legal Name SUGA NEUROPSYCHOLOGICAL SERVICES, LLC
Address 6296 Rucker Rd
Indianapolis
IN 46220-4888
Phone Number 3178239155
Gender M
Medical School UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1986
Primary Specialty CLINICAL PSYCHOLOGIST
Group Practice PAC ID 7911121678
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
6296 Rucker Rd, Indianapolis, IN 46220-4888 3178239155 SUGA NEUROPSYCHOLOGICAL SERVICES, LLC

Organization Information

Organization Legal Name SUGA NEUROPSYCHOLOGICAL SERVICES, LLC
Physicians 1

Office Location

Street Address 6296 RUCKER RD
City INDIANAPOLIS
State IN
Zip 46220-4888

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Competitor

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City INDIANAPOLIS
Zip Code 46220
Specialty CLINICAL PSYCHOLOGIST
City + Specialty INDIANAPOLIS + CLINICAL PSYCHOLOGIST

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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