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Individual

JAMES A LEROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378-9006
(623) 374-7774
(623) 240-1110
Mailing address
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378-9002
(623) 374-7774
(623) 240-1110

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1766
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
066672
AZ
Enumeration date
03/09/2006
Last updated
01/18/2013
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