Leachman, Stephanie Petersen

Leachman, Stephanie Petersen is an individual health care provider with primary practice located at 6565 West Loop South Suite 600, Bellaire TX 77401. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leachman, Stephanie Petersen can be contacted via phone (713) 592-8952.

Contact Information

Primary practice address
6565 West Loop South Suite 600 Bellaire TX 77401
Phone: (713) 592-8952
Fax: (713) 592-9266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1345 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 32918 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1345 Kansas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 32918 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 32918 Texas

Profile Details

NPI number 1447457494
LBN Legal business name Leachman, Stephanie Petersen
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated May 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447457494 NPPES
Texas MEDICAID 190669501

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