Individual provider · Type 1 NPI
Jessica Boisjoli Leboeuf
Intellectual & Developmental Disabilities Psychologist · Raleigh, NC
NPI number
1720454549
Active
Practice location
824 Historian St
Raleigh, NC 27603-3489
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 4215 (NC) |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4215 (NC) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
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About NPI 1720454549
Jessica Boisjoli Leboeuf's National Provider Identifier is 1720454549, issued on Aug 16, 2015. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Raleigh, NC. The record was last updated on Aug 16, 2015.