Individual
MR. PATRICK LEUTZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 CEDAR VALLEY DR APT E, DE SOTO, MO 63020-1282
(636) 208-6790
Mailing address
65 CHERYL LN APT B, VALLEY PARK, MO 63088-1346
(636) 224-8439
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TF0200X
Forensic Psychologist
—
—
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
174400000X
Specialist
—
—
1744R1102X
Research Study Specialist
—
—
246Z00000X
Other Specialist/Technologist
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/13/2021
Last updated
04/27/2024
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