Individual
LEIGH ANN ZIMMERMAN TASILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
124 UNIONVILLE-INDIAN TRAIL RD., SUITE B3, INDIAN TRAIL, NC 28079
(704) 765-2062
(704) 684-4324
Mailing address
124 UNIONVILLE-INDIAN TRAIL RD., SUITE B3, INDIAN TRAIL, NC 28079
(704) 765-2062
(704) 684-4324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4293
NC
Other
Enumeration date
06/17/2011
Last updated
06/25/2019
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