Doctor Name: | LEELA PANOOR |
NPI Number: | 1609802388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 024173 |
Business Practice Address: | 155 W Main St Vernon, CT - 060663578 |
Business Phone Number: | 8608729825 |
Business Fax Number: | 8608709384 |
Mailing Address: | 155 W Main St, VERNON |
State: | CT |
Postal Code: | 060663578 |
Phone Number: | 8608729825 |
Fax Number: | 8608709384 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 024173 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |