Dr. Kevin S Leslie
Psychologist Forensic Psychologist Group Psychotherapist Addiction Psychologist (Substance Use Disorder)
3230 Fall Creek Hwy Suite 110
Granbury
, Texas 76049-7909
Dr. Kevin S Leslie
Psychologist Forensic Psychologist Group Psychotherapist Addiction Psychologist (Substance Use Disorder)
3230 Fall Creek Hwy Suite 110
Granbury
, Texas 76049-7909
(817) 776-7003
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About
Features
Specialties
- Psychologist
- Addiction Psychologist (Substance Use Disorder)
- Forensic Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Kevin S Leslie
- 3230 Fall Creek Hwy Suite 110
- Granbury, TX
- Zip : 76049-7909
- Phone : (817) 776-7003
Second Address
- Dr. Kevin S Leslie
- 3230 Fall Creek Hwy Suite 110
- Granbury, TX
- Zip : 76049-7909
- Phone : (817) 776-7003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | TX | |
| Y | 103T00000X | Psychologist | TX | |
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 10910 | TX |
| N | 103TF0200X | Forensic Psychologist | TX | |
| N | 103TP2701X | Group Psychotherapist | TX |
National Provider Identifier
| NPI | 1396123097 |
|---|---|
| Provider Name | Dr. Kevin S Leslie |
| First Address | Granbury, TX 76049-7909 |
| Second Address | Granbury, TX 76049-7909 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2015 |
| Last Update Date | 27/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.