| Toni Leo Phd | |
|
1865 Paseo San Luis Ste B Sierra Vista AZ 85635 | |
| (520) 417-2055 | |
| (520) 417-2055 |
| Full Name | Toni Leo Phd |
|---|---|
| Speciality | Psychologist |
| Location | 1865 Paseo San Luis, Sierra Vista, Arizona |
| Authorized Official Name and Position | Toni Marie Leo (PSYCHOLOGIST) |
| Authorized Official Contact | 5204172055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Toni Leo Phd 1865 Paseo San Luis Ste B Sierra Vista AZ 85635 Ph: (520) 417-2055 | Toni Leo Phd 1865 Paseo San Luis Ste B Sierra Vista AZ 85635 Ph: (520) 417-2055 |
| NPI Number | 1104804988 |
|---|---|
| Provider Enumeration Date | 01/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274612981 |
|---|---|
| Medicare Enrollment ID | O20080507000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104804988 | NPI | - | NPPES |
| 500505 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3296 (Arizona) | Primary |
| 103TH0100X | Psychologist - Health Service | 3296 (Arizona) | Primary |
| Provider Name | Toni M Leo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801066089 PECOS PAC ID: 9537072988 Enrollment ID: I20050824000042 |
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