Individual
LESLIE CROSSMAN
Active
Individual
LESLIE CROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-4040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102040602
—
TX
01
—
86104A
BCBS
TX
Enumeration date
08/31/2006
Last updated
12/26/2013
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