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NPI Profile for Dr JODI LESLIE in MISSOULA, MT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1447301981 |
|
| Status | Active | |
| Credentials | PhD | |
| Entity | Individual | |
| Enumeration date | 01/12/2007 | |
| Last updated | 11/30/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JODI LESLIE
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JODI LESLIE, PhD