Organization
LECCI PSYCHOLOGICAL SERVICES, PLLC
Active
Other names
MARS Memory Health Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEN B LECCI PH.D. (OWNER AND MANAGER)
(910) 962-7262
Entity
Organization
Contact information
Practice address
219 RACINE DR STE B, MARS MEMORY HEALTH NETWORK, WILMINGTON, NC 28403-8828
(910) 791-6277
(910) 791-6226
Mailing address
219 RACINE DR STE B, MARS MEMORY HEALTH NETWORK, WILMINGTON, NC 28403-8828
(910) 791-6277
(910) 791-6226
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3041
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017HY
BC BS FOR MARS
NC
Enumeration date
01/11/2006
Last updated
09/26/2011
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