Individual
LEON WAYNE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
311-4E JUDGES ROAD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Mailing address
311-4E JUDGES ROAD, WILMINGTON, NC 28405-3655
(910) 791-6767
(910) 791-6890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
HSP-P 1252
NC
Other
Enumeration date
01/18/2012
Last updated
03/02/2012
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