Leslie, Kevin S
Leslie, Kevin S is an sole proprietor health care provider with primary practice located at 3230 Fall Creek Hwy Suite 110, Granbury TX 76049-7909. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Leslie, Kevin S can be contacted via phone (817) 776-7003.Contact Information
Primary practice address
3230 Fall Creek Hwy Suite 110
Granbury TX 76049-7909
Phone: (817) 776-7003
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 10910 | Texas |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | Texas | |
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | Texas | |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Texas |
Profile Details
NPI number | 1396123097 |
---|---|
LBN Legal business name | Leslie, Kevin S |
Credentials | PSY.D, L.C.D.C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 13th, 2015 |
Last updated | Apr 27th, 2018 - about 6 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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