Leslie A Richardson in Camp Lejeune - Developmental - Behavioral Pediatrics

Leslie A Richardson - NPI 1780604751

Leslie A Richardson is a Developmental - Behavioral Pediatrics in Camp Lejeune, North Carolina. Leslie A Richardson practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Leslie A Richardson is 1780604751. The last update date is 2018-02-13.

Leslie A Richardson's current location address is 100 Brewster Blvd, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104503712 and fax number 9104503766. The mailing address for Leslie A Richardson is 100 Brewster Blvd, Camp Lejeune, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie A Richardson
Address 100 Brewster Blvd, Camp Lejeune, North Carolina
Phone Number 9104503712
Fax Number 9104503766
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1780604751
Provider Enumeration Date 2006-07-20
Last Updated Date 2018-02-13

Provider Mailing Address Detail

Address 100 Brewster Blvd
City Camp Lejeune
State North Carolina (NC)
Post Code 285472575
Phone Number 9104503712
Fax Number 9104503766

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No 95-00703
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1780604751 NC --
71547 NC NCBCBS
NC2600 SC --
8971547 NC --

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FAQs about Leslie A Richardson

What is the unique 10-digit identifier code assigned to Leslie A Richardson by the Centers for Medicare & Medicaid Services?

The Leslie A Richardson has been issued the NPI (National Provider Identifier) 1780604751 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Leslie A Richardson located?

The Leslie A Richardson is located at 100 Brewster Blvd, Camp Lejeune, NC 285472575.

What is Leslie A Richardson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Leslie A Richardson is Developmental - Behavioral Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2080P0006X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1780604751 to Leslie A Richardson?

The Centers for Medicare & Medicaid Services originally issued the 1780604751 to Leslie A Richardson on 2006-07-20.

When was the information regarding Leslie A Richardson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Leslie A Richardson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-02-13.

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