Doctor Name: | LESLIE WEINFELD |
NPI Number: | 1013046119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAHS, LPC |
License Number: | 16228 |
Business Practice Address: | 1930 Rawhide Dr Ste 302 Round Rock, TX - 786816953 |
Business Phone Number: | 5122462232 |
Business Fax Number: | |
Mailing Address: | 13400 Briar Hollow Dr, AUSTIN |
State: | TX |
Postal Code: | 787292853 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 16228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |