Individual
BRETT LEIMKHUHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
512 MAIN ST, WAKEFIELD, RI 02879
(401) 789-7848
(401) 782-2653
Mailing address
PO BOX 69, WAKEFIELD, RI 02880
(401) 789-7848
(401) 782-2653
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS335
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211338
BCBS RI PROVIDER ID
—
01
—
410194
BCBS RI BLUECHIP PROVIDER
—
Enumeration date
03/26/2007
Last updated
07/08/2007
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