Individual
DR. LESLIE ANN DELLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
231 BRUTON STREET, BAINBRIDGE, GA 39818
(229) 248-1625
Mailing address
231 BRUTON STREET, P.O. BOX 7851, BAINBRIDGE, GA 39818
(229) 248-1625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0002466
GA
103TC0700X
Clinical Psychologist
PY5308
FL
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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