| Melissa Leedy, Ph.d. | |
|
2035a West Houston Street Broken Arrow OK 74012-8792 | |
| (918) 505-4367 | |
| (888) 371-9410 |
| Full Name | Melissa Leedy, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 2035a West Houston Street, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Melissa Jean Leedy (OWNER/OPERTOR) |
| Authorized Official Contact | 9185054367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Leedy, Ph.d. 6406 E Fort Worth Pl Broken Arrow OK 74014-7043 Ph: (918) 505-4367 | Melissa Leedy, Ph.d. 2035a West Houston Street Broken Arrow OK 74012-8792 Ph: (918) 505-4367 |
| NPI Number | 1205377678 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 09/04/2022 |
| Certification Date | 09/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205377678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1268 (Oklahoma) | Primary |
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