Individual
DR. EMILY E VANLEEUWEN
Active
Individual
DR. EMILY E VANLEEUWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1756
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006924004
MEDICARE
KS
05
—
200570310A
—
KS
Enumeration date
09/08/2008
Last updated
02/11/2013
Update your record
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