Individual
DR. KELLEY M LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3804 W 15TH ST, PLANO, TX 75075-4752
(972) 801-4204
Mailing address
3804 W 15TH ST, PLANO, TX 75075-4752
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38378
TX
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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