Individual
LESLIE C. BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3393
AZ
103TC0700X
Clinical Psychologist
Primary
3393
AZ
2085R0202X
Diagnostic Radiology Physician
03393
AZ
Other
Enumeration date
08/30/2006
Last updated
10/12/2020
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