Leininger, Shelley Leigh

Leininger, Shelley Leigh is an individual health care provider with primary practice located at 1100 Blythe Blvd , Charlotte NC 28203-5814. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Leininger, Shelley Leigh can be contacted via phone (704) 355-9047.

Contact Information

Primary practice address
1100 Blythe Blvd Charlotte NC 28203-5814
Fax: (704) 355-9458
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4492 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4492 North Carolina

Profile Details

NPI number 1174957609
LBN Legal business name Leininger, Shelley Leigh
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2013
Last updated Dec 8th, 2016 - about 10 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 1174957609 NPPES
North Carolina MEDICAID 1174957609
North Carolina MEDICAID PS0535

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