Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 38842 | TX |
N | 103TC0700X | Clinical Psychologist | 38842 | TX |
N | 103TA0700X | Adult Development & Aging Psychologist | 38842 | TX |
Y | 103G00000X | Clinical Psychologist | 38842 | TX |
Y | 103TC0700X | Clinical Psychologist | 38842 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 38842 | TX |
NPI | 1740956184 |
---|---|
Provider Name | Dr. Leslie Rice |
First Address | Houston, TX 77006-4760 |
Second Address | Austin, TX 78745-7475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2021 |
Last Update Date | 17/08/2021 |