Individual
DR. LEIGH-ANN THEOPHILOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
Mailing address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
08/22/2022
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