Ericia Lynn Leeper is a Clinical in Salem, Oregon. Ericia Lynn Leeper practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ericia Lynn Leeper is 1811176662. The last update date is 2017-03-28.
Ericia Lynn Leeper's current location address is 2600 Center St Ne, Salem, Oregon. You can contact this provider via phone number 5736908669 and fax number 5736355383. The mailing address for Ericia Lynn Leeper is 2600 Center St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ericia Lynn Leeper |
|---|---|
| Address | 2600 Center St Ne, Salem, Oregon |
| Phone Number | 5736908669 |
| Fax Number | 5736355383 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1811176662 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2017-03-28 |
Provider Mailing Address Detail
| Address | 2600 Center St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973012669 |
| Phone Number | 5736908669 |
| Fax Number | 5736355383 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2005038107 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490703501 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ericia Lynn Leeper by the Centers for Medicare & Medicaid Services?
The Ericia Lynn Leeper has been assigned the NPI (National Provider Identifier) 1811176662. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ericia Lynn Leeper?
The Ericia Lynn Leeper is situated at 2600 Center St Ne, in the city of Salem, state of OR, with the zip code 973012669.
What is Ericia Lynn Leeper's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ericia Lynn Leeper's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Ericia Lynn Leeper receive its 1811176662 assignment from the Centers for Medicare & Medicaid Services?
The Ericia Lynn Leeper was assigned its 1811176662 on 2007-10-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ericia Lynn Leeper most recently updated or refreshed?
The details pertaining to the Ericia Lynn Leeper, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-03-28.