Individual
DR. LESLIE DANA-KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD, SUITE 110, SURPRISE, AZ 85374-4799
(623) 374-7774
Mailing address
14635 W FAIRMOUNT AVE, GOODYEAR, AZ 85395-8279
(623) 606-7243
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3320
AZ
Other
Enumeration date
10/11/2006
Last updated
12/09/2015
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