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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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