LEON WAYNE ROBERTSON ED.D.
NPI 1629349022
Psychologist - Clinical in Wilmington, NC

Q: What is Leon Robertson's NPI number?

The NPI number for Leon Robertson is 1629349022. It was assigned to this individual provider in the NPPES registry on January 18, 2012.

Q: What is Leon Robertson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Leon Robertson was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2012

311-4E JUDGES ROAD, WILMINGTON, NC 28405(910) 791-6767(910) 791-6890 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Leon Wayne Robertson Ed.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEON WAYNE ROBERTSON ED.D. (NPI 1629349022) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (HSP-P 1252) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1629349022

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameLEON WAYNE ROBERTSONCredential: ED.D.

Location Address311-4E JUDGES ROADWilmington, NC 28405-3655

Mailing Address311-4e Judges RoadWilmington, NC 28405-3655 · (910) 791-6767 · Fax (910) 791-6890

Phone(910) 791-6767

Fax(910) 791-6890

Sole ProprietorNo

Enumeration DateJanuary 18, 2012

Last NPPES UpdateMarch 2, 2012

✔ NPI 1629349022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · HSP-P 1252

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

311-4E JUDGES ROAD, Wilmington, NC 28405

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Other Identifiers 1

Medicare PINQ381868ANC

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE GALLAGHER NP

Nurse Practitioner