Provider Demographics
NPI:1467348748
Name:KACSIR, LESLIE JO (PSYD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:JO
Last Name:KACSIR
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:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-0026
Mailing Address - Country:US
Mailing Address - Phone:540-550-4242
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 26
Practice Address - Street 2:
Practice Address - City:STEPHENS CITY
Practice Address - State:VA
Practice Address - Zip Code:22655-0026
Practice Address - Country:US
Practice Address - Phone:540-550-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810004011103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist