| Timothy Leary & Associates, Llc | |
|
10551 Barkley St Ste 512 Overland Park KS 66212-1813 | |
| (913) 205-7049 | |
| (913) 317-8193 |
| Full Name | Timothy Leary & Associates, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10551 Barkley St Ste 512, Overland Park, Kansas |
| Authorized Official Name and Position | Timothy J Leary (CLINICIAN/OWNER) |
| Authorized Official Contact | 9132057049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Leary & Associates, Llc Po Box 9233 Shawnee Mission KS 66201-1833 Ph: (913) 205-7049 | Timothy Leary & Associates, Llc 10551 Barkley St Ste 512 Overland Park KS 66212-1813 Ph: (913) 205-7049 |
| NPI Number | 1548665854 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548665854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LSCSW 1532 (Kansas) | Primary |
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