NPI Profile for REGINA E LEGGETT in GREENVILLE, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Clinical |
103TC0700X | 62 | Psychologist, Clinical |
| NPI # | 1265507255 |
|
| Status | Active | |
| Credentials | MA LPA | |
| Entity | Individual | |
| Enumeration date | 11/22/2006 | |
| Last updated | 06/09/2008 - About 18 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REGINA E LEGGETT
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