ELIZABETH LEUTHOLD (NPI# 1487136156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487136156 |
Entity Type | Individual |
Full Name | ELIZABETH LEUTHOLD |
Credential | PHD |
Practice Address |
860 Lynn St Lebanon MO 65536-3810 |
Mailing Address |
1800 Community Clinton MO 64735-8804 |
Practice Telephone | 8884031071 |
Mailing Telephone | 6608858131 |
Enumeration Date | 2018-08-30 |
Last Update Date | 2019-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
2018030707 | MO | Behavioral Health & Social Service Providers |
Street Address |
860 LYNN ST |
City | LEBANON |
State | MO |
Zip Code | 65536-3810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568448470 | Catherine A Grigg | Psychologist | 860 Lynn St, Lebanon, MO 65536-3810 | 2005-12-22 |
1801496856 | Lauren Dailey Smalling | Social Worker | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-10-29 |
1023657152 | Kristin M. Million | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2020-01-07 |
1497390959 | Cynthia Denise Parker | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-11-08 |
1023652500 | Melissa Lee Black | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-10-29 |
1235780099 | Jeanna Suzanne Hood | Registered Nurse | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-09-24 |
1245710045 | Derrick Leighton Carroll | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-21 |
1720566805 | Advocates for A Healthy Community, Inc. | Pharmacy | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-08-01 |
1790272011 | Mary Kathryn Goslin | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-04-23 |
1447747837 | Katie Powell | Social Worker | 860 Lynn St, Lebanon, MO 65536-3810 | 2018-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
Find all providers in zip 65536 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255821294 | William D. Campagna | Psychologist | 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 | 2018-05-15 |
1881196376 | Allied Health Professionals | Psychologist | 3056 Horn Springs Road, Lebanon, TX 37087-1953 | 2018-03-01 |
1972904894 | Mujgan Inciler | Psychologist | 5787 State Route 63, C/o Wci, Lebanon, OH 45036 | 2014-09-10 |
1871992578 | Samantha Robin Wertheimer | Psychologist | 1202 Ash Lane, Lebanon, PA 17042-9626 | 2014-08-19 |
1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
1104048727 | Paul J Walker Sr. | Psychologist | 5787 St Route 63, Lebanon, OH 45036 | 2007-05-03 |
1235274275 | John Tilghman Hower | Psychologist | 195 N Cornwall Rd E, Lebanon, PA 17042-9014 | 2007-02-20 |
1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
1578645974 | Georgette Ventura | Psychologist | 511 Noble St, Lebanon, PA 17042-6322 | 2006-10-19 |
1205847837 | Diane P Hoover | Psychologist | 1700 South Lincoln Ave (690), Lebanon, PA 17042 | 2006-08-10 |
Find all providers in LEBANON |
Please comment or provide details below to improve the information on ELIZABETH LEUTHOLD.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.