Provider Demographics
NPI:1548494388
Name:WARFIELD, LESLIE ELLEN (PSY D)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ELLEN
Last Name:WARFIELD
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 95TH ST
Mailing Address - Street 2:15J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6331
Mailing Address - Country:US
Mailing Address - Phone:914-645-9492
Mailing Address - Fax:212-866-8933
Practice Address - Street 1:215 W 95TH ST
Practice Address - Street 2:15J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6331
Practice Address - Country:US
Practice Address - Phone:914-645-9492
Practice Address - Fax:212-866-8933
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010274-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical