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Individual

LEONID BAKSHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUP

Contact information

Practice address
3201 S TAMARAC DR, DENVER, CO 80231-4394
(303) 597-7777
(303) 597-7700
Mailing address
3201 S TAMARAC DR, DENVER, CO 80231-4394
(303) 597-7777
(303) 597-7700

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8559
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
947539
CO
Enumeration date
08/21/2006
Last updated
11/29/2023
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