| Katherine Leahy Psychology Llc | |
|
439 N Mclean Blvd Ste 102 Wichita KS 67203-5900 | |
| (316) 263-3627 | |
| (316) 462-0793 |
| Full Name | Katherine Leahy Psychology Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 439 N Mclean Blvd Ste 102, Wichita, Kansas |
| Authorized Official Name and Position | Katherine Rayne Leahy (OWNER) |
| Authorized Official Contact | 3163046104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Leahy Psychology Llc 1105 N Oak Ridge Ave Goddard KS 67052-8621 Ph: (316) 304-6104 | Katherine Leahy Psychology Llc 439 N Mclean Blvd Ste 102 Wichita KS 67203-5900 Ph: (316) 263-3627 |
| NPI Number | 1154841690 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 06/26/2017 |
| Medicare PECOS PAC ID | 3678842598 |
|---|---|
| Medicare Enrollment ID | O20170710001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154841690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1757 (Kansas) | Primary |
| Provider Name | Katherine R Leahy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619168002 PECOS PAC ID: 2668553975 Enrollment ID: I20080112000095 |
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