LEEANDRA LD ETHERIDGE NPI 1528720612

NPI Information

Leeandra Ld Etheridge is a health service psychologist in Scottsdale, AZ. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Leeandra Ld Etheridge NPI is 1528720612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6599 E THOMAS RD APT 2013
SCOTTSDALE, AZ
ZIP 85251-034
Phone: (148) 065-9345

The enumeration date for this NPI number is 10/6/2021 and was last updated on 10/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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