Individual
DR. LESLIE ELIZABETH BARNES-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
745
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP4836
MEDICAID GROUP
SC
05
—
PS0425
—
SC
01
—
Q577481186
MEDICARE
SC
Enumeration date
07/12/2005
Last updated
08/05/2015
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