Lezlie Athena Scaliatine


Address: 1625 Terrace Way, Suite C, Santa Rosa, CA 95404-3035
Phone: 5102067917

Lezlie Athena Scaliatine (NPI# 1487847836, PAC ID# 1355507724) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1487847836
PAC ID by PECOS 1355507724
Professional Enrollment ID I20120730000706
Full Name Lezlie Athena Scaliatine
Address 1625 Terrace Way
Suite C
Santa Rosa
CA 95404-3035
Phone Number 5102067917
Gender F
Graduation Year 2004
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1625 Terrace Way, Suite C, Santa Rosa, CA 95404-3035 5102067917

Organization Information

Office Location

Street Address 1625 TERRACE WAY
SUITE C
City SANTA ROSA
State CA
Zip 95404-3035

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Scott A Sewell Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
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Raymond F Conway Iii Interventional Radiology Redwood Radiology Group Inc 3325 Chanate Rd, Santa Rosa, CA 95404-1707
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Robert M Pousman Anesthesiology Anesthesia and Analgesia Medical Group, Inc. 3325 Chanate Rd, Santa Rosa, CA 95404-1707
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Competitor

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City SANTA ROSA
Zip Code 95404
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty SANTA ROSA + PSYCHOLOGIST, CLINICAL

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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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