Healthcare Provider Details
I. General information
NPI: 1255546958
Provider Name (Legal Business Name): DAVID EDWARD LEIGHTON PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4921 E BELL RD #207
SCOTTSDALE AZ
85254-6002
US
IV. Provider business mailing address
4921 E BELL RD #207
SCOTTSDALE AZ
85254-6002
US
V. Phone/Fax
- Phone: 602-482-0048
- Fax:
- Phone: 602-482-0048
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | 914 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 914 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: