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NPI Code Detail

MEDICARE: DR. LEAH BOEPPLE PHD

MEDICARE:  DR. LEAH  BOEPPLE  PHD
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
1103TC0700XClinical Psychologist1581SC

General Provider Information

NPI Number : 1134770001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEAH BOEPPLE PHD
Provider Business Mailing Address
First Line : 48 ASHE ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29403-5346
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 871 LOWCOUNTRY BLVD
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3066
Country : US
Telephone Number : 843-501-1009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2019
Last Update Date : 09/23/2019

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Directions to “ DR. LEAH BOEPPLE PHD” Practice Location

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