Phillips, Leslie Ralph

Phillips, Leslie Ralph is an individual health care provider with primary practice located at 120 William Penn Plaza , Durham NC 27704-2150. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Phillips, Leslie Ralph can be contacted via phone (919) 220-5255.

Contact Information

Primary practice address
120 William Penn Plaza Durham NC 27704-2150
Phone: (919) 220-5255
Fax: (919) 220-6971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1674 North Carolina

Profile Details

NPI number 1205812542
LBN Legal business name Phillips, Leslie Ralph
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 18th, 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 1205812542 NPPES
North Carolina MEDICAID 6000458

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