Leslie, Jodi
Leslie, Jodi is an individual health care provider with primary practice located at 1275 Big Flat Rd , Missoula MT 59804-9217. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Leslie, Jodi can be contacted via phone (406) 728-1413.Contact Information
Primary practice address
1275 Big Flat Rd
Missoula MT 59804-9217
Phone: (406) 728-1413
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 960 | Montana |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 115184-2501 | Utah |
Profile Details
NPI number | 1447301981 |
---|---|
LBN Legal business name | Leslie, Jodi |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2007 |
Last updated | Nov 30th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447301981 | NPPES |
Montana | Other | 944653 | LCPC |
Montana | MEDICAID | 0000253164 | LCPC |
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