Organization
LEGACY COUNSELING SERVICE
Active
Other names
Melissa Leedy, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA JEAN LEEDY PH.D. (OWNER/OPERTOR)
(918) 505-4367
Entity
Organization
Contact information
Practice address
2035A WEST HOUSTON STREET, BROKEN ARROW, OK 74012-8792
(918) 505-4367
(888) 371-9410
Mailing address
6406 E FORT WORTH PL, BROKEN ARROW, OK 74014-7043
(918) 505-4367
(888) 371-9410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1268
OK
Other
Enumeration date
03/17/2017
Last updated
09/04/2022
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