Individual
DR. FREDERICK G. LEIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9101 E KENYON AVE STE 2900, DENVER, CO 80237-1855
(720) 489-7756
(866) 836-3632
Mailing address
5935 N LARIAT DR, CASTLE ROCK, CO 80108-9367
(720) 988-3885
(866) 836-3632
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2301
CO
103G00000X
Clinical Neuropsychologist
4168
OH
Other
Enumeration date
08/26/2009
Last updated
04/17/2020
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