NPI 1992841654 · live from the CMS NPI Registry
Lesli Annette-Elkins Baltz, LCSW, LPE-I
Psychologist in Jonesboro, AR. National Provider Identifier 1992841654, active.
NPI record
| NPI | 1992841654 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 2808 Fox Meadow Lane, Jonesboro, AR 72404 |
| Practice phone | 870-932-4245 |
| Enumerated | January 29, 2007 |
| Last updated | November 18, 2022 |
| Sole proprietor | No |
| Other names | Lesli Elkins |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 2290-C (AR) |
| Psychologist primary | 103T00000X | 11-11EI (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.