NPI 1205568458

Joseph Jeane-Leeman, PHDLP

Practitioner Clinical Neuropsychologist Fort Worth, TX

Practice location

Address: 1208 W Magnolia Ave STE 234, Fort Worth, TX 76104-8801
Phone: (817) 989-6312

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 39066 (TX)

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Registry record

NPI: 1205568458
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2022
Record last updated: 27 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.