Doctor Name: | JAMES A LEROY |
NPI Number: | 1013985639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 1766 |
Business Practice Address: | 12425 W Bell Rd Suite 200 Surprise, AZ - 853789006 |
Business Phone Number: | 6233747774 |
Business Fax Number: | 6232401110 |
Mailing Address: | 12425 W Bell Rd, Suite 200 SURPRISE |
State: | AZ |
Postal Code: | 853789002 |
Phone Number: | 6233747774 |
Fax Number: | 6232401110 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |