MEDICARE: DR. KEVIN S LESLIE PSY.D, L.C.D.C

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	103TA0400X	Addiction (Substance Use Disorder) Psychologist	10910	TX
2	103TF0200X	Forensic Psychologist		TX
3	103TP2701X	Group Psychotherapy Psychologist		TX
4	103T00000X	Psychologist		TX

General Provider Information

NPI Number	:	1396123097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN S LESLIE PSY.D, L.C.D.C

Provider Business Mailing Address
First Line	:	3230 FALL CREEK HWY
Second Line	:	SUITE 110
City	:	GRANBURY
State	:	TX
Zip	:	76049-7909
Country	:	US
Telephone Number	:	817-776-7003
Fax Number	:

Provider Business Practice Location Address
First Line	:	3230 FALL CREEK HWY
Second Line	:	SUITE 110
City	:	GRANBURY
State	:	TX
Zip	:	76049-7909
Country	:	US
Telephone Number	:	817-776-7003
Fax Number	:

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

Provider Enumeration Date	:	05/13/2015
Last Update Date	:	04/27/2018

Similar Medicare Providers

1306021886 — HEALTHCARE OF WEST TEXAS LLC
Practice Location Address:

2441 E US HIGHWAY 377 STE 105
GRANBURY, TX
76049-6117

Practice Phone: 817-573-7474
Practice Fax: 817-279-0755

1134070956 — COREY BLAINE HIX RN
Practice Location Address:

4324 BASSWOOD CT
GRANBURY, TX
76049-5805

Practice Phone: 940-704-5246
Practice Fax:

1134122260 — DR. ROBERT BRIAN YEAMAN O.D.
Practice Location Address:

4000 E US HIGHWAY 377
GRANBURY, TX
76049-7432

Practice Phone: 817-573-7153
Practice Fax: 817-573-5640

1831192962 — DR. CHRISTOPHER DAVID CHEYNE O.D.
Practice Location Address:

4000 E US HIGHWAY 377
GRANBURY, TX
76049-7432

Practice Phone: 817-573-7153
Practice Fax: 817-573-5640

1821091943 — CHEYNE EYE CENTER P.A.
Practice Location Address:

4000 E US HIGHWAY 377
GRANBURY, TX
76049-7432

Practice Phone: 817-573-7153
Practice Fax: 817-573-5640

1073518072 — DR. COURTNEY CHEYNE COBBS OD
Practice Location Address:

4000 E US HIGHWAY 377
GRANBURY, TX
76049-7432

Practice Phone: 817-573-7153
Practice Fax: 817-573-5640

Directions to “ DR. KEVIN S LESLIE PSY.D, L.C.D.C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.