Provider Demographics
NPI:1922433093
Name:SCHEEL, LESLIE (PSYD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:SCHEEL
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 1:6 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-7517
Mailing Address - Country:US
Mailing Address - Phone:774-277-9477
Mailing Address - Fax:
Practice Address - Street 1:6 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-7517
Practice Address - Country:US
Practice Address - Phone:742-779-4777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10878103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical