DR. MATTHEW TODD LEIBSOHN


Address: 1450 114th Ave Se, Ste 100, Bellevue, WA 98004-6962
Phone: 4254537722

DR. MATTHEW TODD LEIBSOHN (NPI# 1972791358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972791358
Entity Type Individual
Full Name DR. MATTHEW TODD LEIBSOHN
Credential PH.D.
Practice Address 1450 114th Ave Se
Ste 100
Bellevue
WA 98004-6962
Mailing Address 3206 74th Pl Se
Mercer Island
WA 98040-3400
Practice Telephone 4254537722
Practice Fax Number 4253201021
Mailing Telephone 4254537722
Mailing Fax Number 4253201021
Enumeration Date 2007-10-10
Last Update Date 2007-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
1764 WA Behavioral Health & Social Service Providers

Office Location

Street Address 1450 114TH AVE SE
STE 100
City BELLEVUE
State WA
Zip Code 98004-6962

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902008790 Laura Halford Counselor 1450 114th Ave Se, Suite 100, Bellevue, WA 98004-6962 2007-06-04
1255632246 Megan Clarke Marriage & Family Therapist 1450 114th Ave Se, Suite 100, Bellevue, WA 98004-6962 2010-11-08
1013109966 Eastside Addiction Professionals Counselor 1450 114th Ave Se, Ste 100, Bellevue, WA 98004-6962 2007-08-15

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780672857 Nancy Huenefeld Gese Psychologist 4315 Factoria Blvd Se, Ste B, Bellevue, WA 98006-1930 2005-10-12
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1609194380 Nancy Huenefeld, Inc Psychologist 4315 Factoria Blvd Se, Ste B, Bellevue, WA 98006-1930 2010-05-05
1598784399 Elizabeth Jane Wilson Psychologist 11522 Ne 21st St, Bellevue, WA 98004-3025 2006-07-19

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NPI Name Taxonomy Address Enumeration
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Competitor

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City BELLEVUE
Zip Code 98004

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Dataset Information

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.

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