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DR. LAURIE ROCHELLE LEACH PH.D.

Clinical Neuropsychologist

Raleigh, North Carolina

Provider NPI: 1659481075

Provider Information:
DR. LAURIE ROCHELLE LEACH PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
3000 NEW BERN AVE DEPT OF NEUROPSYCHOLOGY RALEIGH, NC 27610 US
Tel: 919-350-7879  Fax: 919-350-7130

Business Mailing Address:
3000 NEW BERN AVE DEPT OF NEUROPSYCHOLOGY RALEIGH, NC 27610 US
Tel: 919-350-7879  Fax: 919-350-7130

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC2151

Other Provider Identifiers:

IssuerNumberStateType
6000664NC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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