Individual
NANCY ADAMS LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8441 STATE HWY 47, STE 4600, BRYAN, TX 77807-3260
(979) 774-1000
(979) 776-1211
Mailing address
8441 STATE HWY 47, STE 4600, BRYAN, TX 77807-3260
(979) 774-1000
(979) 776-1211
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
22746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033619001
—
TX
01
—
86866A
BCBS PROVIDER NO.
TX
Enumeration date
08/04/2006
Last updated
09/23/2015
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