Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0004X | Health Psychologist | 103344 | NC |
N | 103TH0100X | Health Service | 103344 | NC |
N | 103TS0200X | School Psychologist | 103344 | NC |
NPI | 1063729614 |
---|---|
Provider Name | Leigh Chancey |
First Address | Raleigh, NC 27604-0010 |
Second Address | Raleigh, NC 27610-1855 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2010 |
Last Update Date | 17/02/2021 |