Nathan R Leslie, M.PSY.
Individual provider Active NPI Psychologist · Linthicum Heights, MD
NPI 1932880481 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1932880481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- AO811 (MD)
- Practice address
- 1190 Winterson Rd Ste 160
Linthicum Heights, MD 21090-2245 - Phone
- (303) 908-2555
- NPI assigned
- Jul 27, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO811 | MD | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | AO811 | MD | Yes |
Addresses
Primary practice location
1190 Winterson Rd Ste 160
Linthicum Heights, MD 21090-2245
Mailing address
1100 Quaker Hill Dr Apt 3
Alexandria, VA 22314-4702
Phone (303) 908-2555
Other providers in Linthicum Heights, MD
- Darius Kelley
- Priyana Kumar Khan
- Bayan Kozalbash
- Tasneem Lakhani
- Makayla Lee
- Amy Luman
- Camishak Major
- Cassidy Marshall
- Maryland House Detox, LLC
- Connor McLaren
All providers in Linthicum Heights, MD · Psychologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.