Individual
DR. STEPHANIE PETERSEN LEACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6565 WEST LOOP SOUTH, SUITE 600, BELLAIRE, TX 77401
(713) 592-8952
(713) 592-9266
Mailing address
6565 WEST LOOP SOUTH, SUITE 600, BELLAIRE, TX 77401
(713) 592-8952
(713) 592-9266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1345
KS
103T00000X
Psychologist
32918
TX
103TC0700X
Clinical Psychologist
Primary
32918
TX
103TC1900X
Counseling Psychologist
1345
KS
103TC1900X
Counseling Psychologist
32918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190669501
—
TX
Enumeration date
07/02/2007
Last updated
05/09/2022
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