Organization
NANCY LESLIE PHD & ASSOCIATES IN MEDICAL PSYCHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ADAMS LESLIE PH.D. (OWNER)
(979) 774-1000
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 420, BRYAN, TX 77802-3475
(979) 774-1000
(979) 776-1211
Mailing address
3201 UNIVERSITY DR E, SUITE 420, BRYAN, TX 77802-3475
(979) 774-1000
(979) 776-1211
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89LC
BC/BS GROUP ID
TX
Enumeration date
08/04/2006
Last updated
02/12/2008
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