Individual
MR. LEONARD B MEDOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1217 E ELIZABETH BLDG 6, FORT COLLINS, CO 80524
(970) 484-0663
(970) 221-2446
Mailing address
1217 E ELIZABETH BLDG 6, FORT COLLINS, CO 80524
(970) 484-0663
(970) 221-2446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
708
CO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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