Wesley Max Ledom in Prairie Village - Clinical

Wesley Max Ledom - NPI 1346374824

Wesley Max Ledom is a Clinical in Prairie Village, Kansas. Wesley Max Ledom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wesley Max Ledom is 1346374824. The last update date is 2009-09-23.

Wesley Max Ledom's current location address is 7524 Eaton St, Prairie Village, Kansas. You can contact this provider via phone number 9136345199. The mailing address for Wesley Max Ledom is 7524 Eaton St, Prairie Village, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley Max Ledom
Address 7524 Eaton St, Prairie Village, Kansas
Phone Number 9136345199
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1346374824
Provider Enumeration Date 2007-03-15
Last Updated Date 2009-09-23

Provider Mailing Address Detail

Address 7524 Eaton St
City Prairie Village
State Kansas (KS)
Post Code 662083610
Phone Number 9136345199
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 290
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
493240121 MO --

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FAQs about Wesley Max Ledom

What is the unique 10-digit identification code issued to Wesley Max Ledom by the Centers for Medicare & Medicaid Services?

The Wesley Max Ledom has been assigned the NPI (National Provider Identifier) 1346374824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Wesley Max Ledom is physically located?

The Wesley Max Ledom is physically situated at the following address: 7524 Eaton St, Prairie Village, KS, 662083610.

What is the Wesley Max Ledom's area of specialization and corresponding taxonomy classification?

The Wesley Max Ledom's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346374824 to Wesley Max Ledom?

The Centers for Medicare & Medicaid Services originally issued the 1346374824 to Wesley Max Ledom on 2007-03-15.

When was the information regarding Wesley Max Ledom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wesley Max Ledom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-09-23.

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