Individual
DR. LESLIE MARIE MUSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8535 TOM SLICK, SAN ANTONIO, TX 78229-3367
(210) 616-0300
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420994201
—
TX
Enumeration date
08/25/2014
Last updated
04/26/2021
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