Organization
PSYCHOLOGY 101, LLC
Active
Organization
PSYCHOLOGY 101, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J SANDRA LEONARD PSY. D. (CLINICAL PSYCHOLOGIST)
(660) 647-2800
Entity
Organization
Contact information
Practice address
613 S TEBO ST, WINDSOR, MO 65360-1737
(660) 647-2800
(660) 647-5300
Mailing address
613 S TEBO ST, WINDSOR, MO 65360-1737
(660) 647-2800
(660) 647-5300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
200815723
MO
Other
Enumeration date
03/30/2010
Last updated
10/05/2010
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