Individual
DR. STACEY CHERUP-LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6900 PECOS RD, VA SOUTHERN NEVADA HEALTHCARE SYST, N LAS VEGAS, NV 89086-4400
(775) 762-5134
Mailing address
6940 FLORA AVE S, SEATTLE, WA 98108-3541
(775) 762-5134
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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