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NANCY LESLIE PHD & ASSOCIATES IN MEDICAL PSYCHOLOGY, PC

Clinical Neuropsychologist

Bryan, Texas

Provider NPI: 1891703583

Organization Information:
Organization Name:  NANCY LESLIE PHD & ASSOCIATES IN MEDICAL PSYCHOLOGY, PC
Organization is not Subpart
Authorized Official:  NANCY ADAMS LESLIE  OWNER  979-7741000

Practice Location:
3201 UNIVERSITY DR E SUITE 420 BRYAN, TX 77802 US
Tel: 979-774-1000  Fax: 979-776-1211

Business Mailing Address:
3201 UNIVERSITY DR E SUITE 420 BRYAN, TX 77802 US
Tel: 979-774-1000  Fax: 979-776-1211

Entity Type: Organization

Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
BC/BS GROUP ID89LCTX01
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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