IndividualActive
Jonathan Leggett, PHD
NPI 1831497783 · Prescribing (Medical) Psychologist · Gallup, NM
Provider details
- NPI number
- 1831497783
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 99045855A (IN)
Mailing address
303 S First St
Gallup, NM 87301-6211
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.