Individual
KATHERINE RAYNE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
217 W IRA CT, ANDOVER, KS 67002-9469
(316) 733-5047
Mailing address
1105 N OAK RIDGE AVE, GODDARD, KS 67052-8621
(316) 304-6104
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1757
KS
Other
Enumeration date
08/09/2007
Last updated
11/24/2014
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