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Contact Information

BETTY J LEAKE
151 CENTER ST # A
CHESTER, SC29706-2704
 Phone: 704-808-0378
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Mental Health

101YM0800X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BETTY J LEAKE · (Female)

NPI Number 1659064905
Status Active
Credentials
Entity Individual
Enumeration date 06/01/2023
Last updated 06/01/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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