Individual
DR. ERICIA LYNN LEEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(573) 690-8669
(573) 635-5383
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
(573) 690-8669
(573) 635-5383
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2005038107
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490703501
—
MO
Enumeration date
10/29/2007
Last updated
03/28/2017
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