Provider Demographics
NPI:1134257868
Name:LEETE, SUSAN JUNE (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:JUNE
Last Name:LEETE
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 1:3100 SILAS LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-7326
Mailing Address - Country:US
Mailing Address - Phone:919-815-4444
Mailing Address - Fax:
Practice Address - Street 1:3100 SILAS LN
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-7326
Practice Address - Country:US
Practice Address - Phone:919-815-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1753103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical