Active NPI
Leslie Root Drew, PH.D.
- Clinical Psychologist
- Pineville, LA
National Provider Identifier
1194968818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33-516
- Practice address
- 2495 Shreveport Hwy # 71
Pineville, LA 71360-4044 - Phone
- (318) 466-2589
- Fax
- (318) 466-4468
- NPI assigned
- Apr 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33-516 | MS | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy # 71
Pineville, LA 71360-4044
Mailing address
2495 Shreveport Hwy # 71
Pineville, LA 71360-4044
Phone (318) 466-2589
Other names 1
- Dr. Leslie P Root
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33-516 | MS | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1194968818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY # 71",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-466-2589",
"fax_number": "318-466-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY # 71",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-466-2589",
"fax_number": "318-466-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "LESLIE",
"middle_name": "ROOT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "33-516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "ROOT",
"middle_name": "P",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.