Individual
MR. LEONARD MICHAEL LITTLE
Active
Individual
MR. LEONARD MICHAEL LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
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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