Cassie Jo Leutzinger in Bradenton - Clinical
Cassie Jo Leutzinger - NPI 1619906799
Cassie Jo Leutzinger is a Clinical in Bradenton, Florida. Cassie Jo Leutzinger practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cassie Jo Leutzinger is 1619906799. The last update date is 2018-12-20.
Cassie Jo Leutzinger's current location address is 3914 E State Road 64, Bradenton, Florida. You can contact this provider via phone number 9417561200 and fax number 9417399358. The mailing address for Cassie Jo Leutzinger is 3914 E State Road 64, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cassie Jo Leutzinger |
|---|---|
| Address | 3914 E State Road 64, Bradenton, Florida |
| Phone Number | 9417561200 |
| Fax Number | 9417399358 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619906799 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2018-12-20 |
Provider Mailing Address Detail
| Address | 3914 E State Road 64 |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 3420890590 |
| Phone Number | 9417561200 |
| Fax Number | 9417399358 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY9216 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Cassie Jo Leutzinger by the Centers for Medicare & Medicaid Services?
The Cassie Jo Leutzinger has been issued the NPI (National Provider Identifier) 1619906799 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Cassie Jo Leutzinger's facilities are situated?
The facilities of Cassie Jo Leutzinger are physically located at the following address: 3914 E State Road 64, Bradenton, FL, 3420890590.
What is the Cassie Jo Leutzinger's specialty and taxonomy code?
The Cassie Jo Leutzinger's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619906799 to Cassie Jo Leutzinger?
The Cassie Jo Leutzinger received its 1619906799 assignment from the Centers for Medicare & Medicaid Services on 2006-07-01.
When was the information related to Cassie Jo Leutzinger most recently updated or refreshed?
The details pertaining to the Cassie Jo Leutzinger, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-20.