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NANCY ADAMS LESLIE PHD

Clinical Neuropsychologist

Bryan, Texas

Provider NPI: 1225046055

Provider Information:
 NANCY ADAMS LESLIE PHD
Gender: F
Not Sole Proprietor

Practice Location:
8441 STATE HWY 47 STE 4600 BRYAN, TX 77807 US
Tel: 979-774-1000  Fax: 979-776-1211

Business Mailing Address:
8441 STATE HWY 47 STE 4600 BRYAN, TX 77807 US
Tel: 979-774-1000  Fax: 979-776-1211

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX22746

Other Provider Identifiers:

IssuerNumberStateType
033619001TX05
BCBS PROVIDER NO.86866ATX01
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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