Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 23757 | TX |
Y | 103T00000X | Psychologist | 23757 | TX |
N | 103TA0700X | Adult Development & Aging Psychologist | 23757 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 23757 | TX |
N | 103G00000X | Clinical Psychologist | 23757 | TX |
N | 103TC0700X | Clinical Psychologist | 23757 | TX |
NPI | 1225166952 |
---|---|
Provider Name | Dr. Leslie Best Barnes |
First Address | Round Rock, TX 78681-5007 |
Second Address | Round Rock, TX 78681-5007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 22/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
032653001 | (05) | TX |
R57525 | (02) | TX |