Provider Demographics
NPI:1912986514
Name:ROSS, LESLIE PHILLIPS (MS, CGC)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:PHILLIPS
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:ALLISON
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:2121 E HARMONY RD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-3400
Mailing Address - Country:US
Mailing Address - Phone:970-493-6337
Mailing Address - Fax:970-237-7798
Practice Address - Street 1:2121 E HARMONY RD
Practice Address - Street 2:SUITE 170
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-3400
Practice Address - Country:US
Practice Address - Phone:970-237-7738
Practice Address - Fax:970-237-7798
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS