| Deborah L Weidinger Lmlp, Pa | |
|
1301 S Broadway St Leavenworth KS 66048-3119 | |
| (913) 651-4123 | |
| Not Available |
| Full Name | Deborah L Weidinger Lmlp, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1301 S Broadway St, Leavenworth, Kansas |
| Authorized Official Name and Position | Deborah L Weidinger (PSYCHOLOGIST) |
| Authorized Official Contact | 9136514123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L Weidinger Lmlp, Pa 1301 S Broadway St Leavenworth KS 66048-3119 Ph: (913) 651-4123 | Deborah L Weidinger Lmlp, Pa 1301 S Broadway St Leavenworth KS 66048-3119 Ph: (913) 651-4123 |
| NPI Number | 1659640209 |
|---|---|
| Provider Enumeration Date | 12/27/2011 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Medicare PECOS PAC ID | 0446677231 |
|---|---|
| Medicare Enrollment ID | O20200812000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659640209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 825 (Kansas) | Primary |
| Provider Name | Deborah L Weidinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043381478 PECOS PAC ID: 6204137789 Enrollment ID: I20151229001832 |
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