Healthcare Provider Details

I. General information

NPI: 1770798837
Provider Name (Legal Business Name): LESLEY LEFEVRE PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 05/28/2020
Certification Date: 05/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 E ARAPAHOE RD STE 200
CENTENNIAL CO
80122-2074
US

IV. Provider business mailing address

3792 E COSTILLA AVE
CENTENNIAL CO
80122-2000
US

V. Phone/Fax

Practice location:
  • Phone: 303-370-9370
  • Fax:
Mailing address:
  • Phone: 303-370-9370
  • Fax: 720-493-1107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number2254
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number2254
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number2254
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2254
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2254
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: