Individual
DR. LESLEY M MANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY-D
Contact information
Practice address
550 N 3RD ST, DBH PROGRAM, PHOENIX, AZ 85004-2154
(602) 496-6790
Mailing address
2468 S MARBLE ST, GILBERT, AZ 85295-7134
(602) 369-3343
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4586
AZ
103TC1900X
Counseling Psychologist
PSY20454
CA
Other
Enumeration date
10/02/2006
Last updated
06/14/2016
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