NPI | 1679938211 |
---|---|
Doing Business As | JESSICA LECLERC, PSY.D. |
Entity Type | Organization |
Authorized Contact | JESSICA LEE LECLERC Owner/Psychologist 480-282-4237 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4299) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4299) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2018-09-05 |