Individual
DR. STEPHANIE STEVENS LEEDY-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3949 HOLCOMB BRIDGE ROAD, SUITE 200, NORCROSS, GA 30092-2208
(404) 231-3364
(770) 813-7446
Mailing address
3949 HOLCOMB BRIDGE ROAD, SUITE 200, NORCROSS, GA 30092-2208
(404) 231-3364
(770) 813-7446
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1688
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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