Doctor Name: | DR. AMY MARIE LEEPER |
NPI Number: | 1255678082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 300 Veazey Dr Central Regional Hospital Butner, NC - 275091668 |
Business Phone Number: | 9195757301 |
Business Fax Number: | |
Mailing Address: | 300 Veazey Dr, Central Regional Hospital BUTNER |
State: | NC |
Postal Code: | 275091668 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/14/2013 |
NPI Last Update Date: | 01/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Forensic |
Taxonomy Definition: |