Individual
NATHAN R LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.PSY.
Contact information
Practice address
1190 WINTERSON RD STE 160, LINTHICUM HEIGHTS, MD 21090-2245
(303) 908-2555
Mailing address
1100 QUAKER HILL DR APT 3, ALEXANDRIA, VA 22314-4702
(303) 908-2555
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
AO811
MD
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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