Individual
DR. LAURIE ROCHELLE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3000 NEW BERN AVE, DEPT OF NEUROPSYCHOLOGY, RALEIGH, NC 27610-1231
(919) 350-7879
(919) 350-7130
Mailing address
3000 NEW BERN AVE, DEPT OF NEUROPSYCHOLOGY, RALEIGH, NC 27610-1231
(919) 350-7879
(919) 350-7130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2151
NC
103T00000X
Psychologist
2151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000664
—
NC
Enumeration date
08/30/2006
Last updated
10/18/2024
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