Provider Demographics
NPI:1922640333
Name:WARD, LEIGHA MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEIGHA
Middle Name:MARIE
Last Name:WARD
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 1:8700 MENCHACA RD STE 303
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-5374
Mailing Address - Country:US
Mailing Address - Phone:512-402-3465
Mailing Address - Fax:512-591-0987
Practice Address - Street 1:8700 MENCHACA RD STE 303
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5374
Practice Address - Country:US
Practice Address - Phone:512-402-3465
Practice Address - Fax:512-591-0987
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37596103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical