Individual
DR. ANN MARIE LEIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3508 HIGHWAY 121, BEDFORD, TX 76021-3125
(817) 858-6745
(866) 341-1114
Mailing address
6020 PEDERNALES RDG, N RICHLAND HILLS, TX 76180-0203
(817) 909-9350
(866) 341-1114
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36622
TX
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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