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Individual

LEON ASHLEY PEEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
526 N LOCUST ST, SUITE 5, DENTON, TX 76201-4128
(940) 382-1957
(817) 769-2720
Mailing address
2271 SCRIPTURE ST, DENTON, TX 76201-3747
(940) 382-1957

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2-1953
TX
103T00000X
Psychologist
Primary
2-1953
TX
103TA0700X
Adult Development & Aging Psychologist
21953
TX
103TB0200X
Cognitive & Behavioral Psychologist
21953
TX
103TF0000X
Family Psychologist
21953
TX
103TF0200X
Forensic Psychologist
21953
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
21953
TX
103TR0400X
Rehabilitation Psychologist
21953
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P000TN168
TX
Enumeration date
07/21/2006
Last updated
07/20/2015
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