Individual
DR. LESLEY THOMPSON BRODIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57553361205
UT
2084P0800X
Psychiatry Physician
042-0012150
VT
2084P0800X
Psychiatry Physician
261723-01
NY
2084P0800X
Psychiatry Physician
Primary
287048
MA
2084P0800X
Psychiatry Physician
57553361205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
042-0012150
VT
2084P0804X
Child & Adolescent Psychiatry Physician
261723-01
NY
2084P0804X
Child & Adolescent Psychiatry Physician
57553361205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019286
—
VT
Enumeration date
02/06/2006
Last updated
02/25/2022
Update your record
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