Provider Demographics
NPI:1972711935
Name:BRANDEN-MULLER, LESLIE (PHD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:
Last Name:BRANDEN-MULLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 ANGLESE CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9491
Mailing Address - Country:US
Mailing Address - Phone:919-933-3329
Mailing Address - Fax:
Practice Address - Street 1:108 ANGLESE CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-9491
Practice Address - Country:US
Practice Address - Phone:919-933-3329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2617103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent