Individual
LESLIE ANN BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800
Mailing address
110 SHEEP SPRINGS WAYS, PO BOX 279, JEMEZ PUEBLO, NM 87024-0279
(575) 834-7258
(575) 834-9507
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1542
NM
Other
Enumeration date
02/13/2020
Last updated
05/26/2023
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