Doctor Name: | DR. LESLIE ANN OSTROW |
NPI Number: | 1003023656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., PH.D. |
License Number: | |
Business Practice Address: | 157 Green St Jamaica Plain, MA - 021302667 |
Business Phone Number: | 6179835859 |
Business Fax Number: | |
Mailing Address: | 437 D St, #3f BOSTON |
State: | MA |
Postal Code: | 022101960 |
Phone Number: | 6176702700 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |