Individual
MRS. LESLIE BARBARA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 WASHINGTON AVE STE 150, HOLLAND, MI 49423-7731
(616) 460-0174
Mailing address
890 WASHINGTON AVE STE 150, HOLLAND, MI 49423-7731
(616) 460-0174
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6351004229
MI
103TC1900X
Counseling Psychologist
6301012799
MI
Other
Enumeration date
12/19/2008
Last updated
07/23/2021
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