Individual
LESLIE JOHNSON MEYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0493
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(763) 520-0493
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3588
MN
103TR0400X
Rehabilitation Psychologist
Primary
LP3588
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151758
U CARE
—
01
—
6267174
UBH
—
01
—
6269174
MEDICA
—
01
—
63D67ME
BCBS MINNESOTA
—
01
—
6552200
SOUTH DAKOTA MA
—
01
—
963371019242
PREFERRED ONE
—
01
—
HP27751
HEALTH PARTNERS
—
Enumeration date
05/03/2006
Last updated
09/11/2025
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