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Leeandra Ld Etheridge
Health Service Psychologist in Scottsdale, Arizona
NPI 1528720612

Leeandra Ld Etheridge is a Health Service Psychologist based in Scottsdale, AZ and is specialized in Health Service. Leeandra Ld Etheridge practices in Scottsdale, AZ. The NPI Number for Leeandra Ld Etheridge is 1528720612 and holds a License No. (Arizona).

The current practice location address for Leeandra Ld Etheridge is 6599 E Thomas Rd Apt 2013, Scottsdale, AZ and can be reached out via phone at 148-065-9345. You can also correspond with Leeandra Ld Etheridge through the mailing address at 3260 N HAYDEN RD STE 114, SCOTTSDALE, AZ - 85251-6650 (mailing address contact number: 480-659-3453).

Location: 6599 E Thomas Rd Apt 2013, Scottsdale, AZ, 85251-6650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528720612
Provider Name
Leeandra Ld Etheridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
6599 E Thomas Rd Apt 2013, Scottsdale, AZ, 85251-6650
Phone Number
148-065-9345
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6599 E Thomas Rd Apt 2013
City
Scottsdale
State
Arizona
Zip
85251-6034
Phone Number
148-065-9345
Fax Number
person
Provider Business Mailing Address Details
Address
3260 N Hayden Rd Ste 114
City
Scottsdale
State
Arizona
Zip
85251-6650
Phone Number
480-659-3453
Fax Number
480-809-4646
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
(Arizona)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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