CRYSTAL ODESSA LEONARD NPI 1861009516

NPI Information

  • NPI: 1861009516
  • Provider Name: CRYSTAL ODESSA LEONARD
  • Classification: Psychologist - 103TE1100X
  • Specialization: Exercise & Sports
  • Entity Type: Individual
  • Address: 183 SEABREEZE CT
    NEWNAN, GA
    ZIP 30265
  • Phone: (317) 847-8836

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NPI Details

Crystal Odessa Leonard is an exercise and sports psychologist in Newnan, GA. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Crystal Odessa Leonard NPI is 1861009516. 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:

183 SEABREEZE CT
NEWNAN, GA
ZIP 30265-572
Phone: (317) 847-8836

The enumeration date for this NPI number is 9/28/2020 and was last updated on 5/24/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TE1100XPsychologistExercise & SportsGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1261QS100XOTHERGEORGIAN/A

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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