Individual
DR. R JON LEFFINGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 W ABRAM ST, ARLINGTON, TX 76013-1701
(817) 261-0121
Mailing address
1204 W ABRAM ST, ARLINGTON, TX 76013-1701
(817) 261-0121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86840A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2006
Last updated
07/08/2007
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