Individual
LEIF ERIC LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3515 S 4TH ST, PROFESSIONAL ASSOCIATION, LEAVENWORTH, KS 66048
(913) 651-8415
(913) 772-8580
Mailing address
13829 HARBOR DR, BONNER SPRINGS, KS 66012
(913) 441-1640
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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