Doctor Name: | PROF. LINDA L LEECH |
NPI Number: | 1225098775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 3356 |
Business Practice Address: | 251 Clover Rd Leesville, SC - 290707739 |
Business Phone Number: | 8036871584 |
Business Fax Number: | 8038924011 |
Mailing Address: | 251 Clover Rd, LEESVILLE |
State: | SC |
Postal Code: | 290707739 |
Phone Number: | 8036871584 |
Fax Number: | 8038924011 |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |