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Individual

LEIF ERIC LEAF

Active
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Individual

LEIF ERIC LEAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
01356
MO
103T00000X
Psychologist
Primary
701
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004517
BCBS OF KANSAS GROUP
—
01
—
119716
BCBS OF KANSAS
KS
01
—
2094031
CIGNA
—
01
—
24103022
BCBS OF KC KS
KS
01
—
5240235
AETNA
—
Enumeration date
09/13/2006
Last updated
07/08/2007
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