MEDICARE: MRS. LESLI MARIE ADAMS ED.S., NCSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist		AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154475598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LESLI MARIE ADAMS ED.S., NCSP

Provider Business Mailing Address
First Line	:	29393 W. WHITTON AVE.
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396
Country	:	US
Telephone Number	:	623-327-2850
Fax Number	:

Provider Business Practice Location Address
First Line	:	19871 W FREEMONT RD
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85326-9512
Country	:	US
Telephone Number	:	623-327-2850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	07/21/2022

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