Dr Leslie Walker Roberson, PSYD is a
Student In An Organized Health Care Education/training Program based in Fort Gordon, Georgia. Dr Leslie Walker Roberson is licensed to practice in * (Not Available) (license number ) and her current practice location is
300 East Hospital Rd, Fort Gordon, Georgia. She can be reached at her office (for appointments etc.) via phone at
(787) 787-5624.
NPI number for Dr Leslie Walker Roberson is 1306274154 and her current mailing address is 300 E Hospital Rd, Fort Gordon, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306274154.
Healthcare Provider's Profile
| Full Name | Dr Leslie Walker Roberson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 300 East Hospital Rd, Fort Gordon, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306274154
- Provider Enumeration Date: 10/14/2013
- Last Update Date: 06/26/2015
Medical Identifiers
Medical identifiers for Dr Leslie Walker Roberson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306274154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 08100005170 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leslie Walker Roberson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Leslie Walker Roberson, PSYD
300 E Hospital Rd,
Fort Gordon, GA 30905-5741
Ph: () - | Dr Leslie Walker Roberson, PSYD
300 East Hospital Rd,
Fort Gordon, GA 30905-5741
Ph: (787) 787-5624 |
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