DR. Leota Susan Branche, PHD

NPI #1164687364 in NY, New York

Provider Information

NPI Number: 1164687364
Entity Type: Individual
Name: DR. Leota Susan Branche, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Jul 28, 2008
Last Updated: Jan 9, 2017

Practice Location

Address: 1651 THIRD AVENUE
Address 2: IPTAR
City: NY
State: New York
ZIP Code: 10128
Phone: (914) 262-3985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist	103T00000X

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