Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Patric Justin Leukel, PHD

Individual provider Clinical Psychologist · NPI 1548830425

Patric Justin Leukel, PHD is a Clinical Psychologist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2021.

Licensed in
VA
In the registry since
2021
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3923 Blenheim Blvd Ste 62D
Fairfax, VA 22030-2428
Phone: (571) 520-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810009437 (VA)

Record details

NPI number1548830425
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026

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