Individual
DR. LESLIE ANNE EARLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7555 WATERLOO RD, JESSUP, MD 20794-9783
(443) 204-6914
Mailing address
2709 BLAINE DR, CHEVY CHASE, MD 20815-3041
(301) 944-4392
(301) 933-5108
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0043445
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0043445
STATE LICENSE
MD
Enumeration date
05/17/2006
Last updated
03/07/2023
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