Dr J Sandra Leonard, | |
613 S Tebo St, Windsor, MO 65360-1737 | |
(660) 647-2800 | |
(660) 647-5300 |
Full Name | Dr J Sandra Leonard |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 613 S Tebo St, Windsor, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720249311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2008015723 (Missouri) | Primary |
Entity Name | Angels On The Horizon Therapeutic Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780067090 PECOS PAC ID: 9335403088 Enrollment ID: O20180503001615 |
Mailing Address | Practice Location Address |
---|---|
Dr J Sandra Leonard, 613 S Tebo St, Windsor, MO 65360-1737 Ph: (660) 647-2800 | Dr J Sandra Leonard, 613 S Tebo St, Windsor, MO 65360-1737 Ph: (660) 647-2800 |
Cozette A Toole, PLP, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 844-853-8937 | |
Beba Milagros Perez-rodriguez, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 888-403-1071 | |
Hector Ortiz-marrero, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 844-853-8937 | |
Tenea M Lowman, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 307 N. Main, Windsor, MO 65360 Phone: 660-647-2182 Fax: 660-647-2217 | |
Carl D Davis Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 660-647-9921 Fax: 660-647-3617 | |
Amie Lynn Cooper, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 660-647-2182 Fax: 660-647-3617 | |
Lisa D Brown, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 307 N Main St, Windsor, MO 65360 Phone: 888-403-1071 |