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Individual

MRS. KRYSTAL LIGHT LEDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
249 CENTRAL PARK AVE STE 300, VIRGINIA BEACH, VA 23462-3271
(757) 231-6343
Mailing address
2176 S TERRACE DR, WICHITA, KS 67218-5046
(316) 744-5354

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008655
VA

Other

Enumeration date
10/04/2024
Last updated
10/04/2024
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