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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC/BS GROUP ID | 89LC | TX | 01 |
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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