Individual
MR. LEONARD MICHAEL LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5401 COLLEGE BLVD, SUITE 205, LEAWOOD, KS 66211-1617
(913) 339-6838
(913) 764-4160
Mailing address
5401 COLLEGE BLVD, SUITE 205, LEAWOOD, KS 66211-1617
(913) 339-6838
(913) 764-4160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
00953
MO
103TC0700X
Clinical Psychologist
Primary
0542
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA2040124
MEDICARE
KS
Enumeration date
11/23/2005
Last updated
10/19/2020
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