Provider Demographics
NPI:1427281054
Name:LECA, ADRIENNE DIONE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:DIONE
Last Name:LECA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11710 ELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1307
Mailing Address - Country:US
Mailing Address - Phone:254-449-2895
Mailing Address - Fax:
Practice Address - Street 1:11710 ELLINGTON DR
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1307
Practice Address - Country:US
Practice Address - Phone:254-449-2895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY1000370103TC0700X, 103TC2200X
MD06679103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent