Ingrid Leckliter in Sacramento - Clinical Neuropsychologist

Ingrid Leckliter - NPI 1518940238

Ingrid Leckliter is a Clinical Neuropsychologist in Sacramento, California. Ingrid Leckliter practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Ingrid Leckliter is 1518940238. The last update date is 2007-07-09.

Ingrid Leckliter's current location address is 2825 50th St, Sacramento, California. You can contact this provider via phone number 9167030255 and fax number 9167030243. The mailing address for Ingrid Leckliter is 2825 50th St, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ingrid Leckliter
Address 2825 50th St, Sacramento, California
Phone Number 9167030255
Fax Number 9167030243
Sole Proprietor X
Credentials PH.D.

NPI Number Detail

NPI Number 1518940238
Provider Enumeration Date 2005-11-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2825 50th St
City Sacramento
State California (CA)
Post Code 958172308
Phone Number 9167030255
Fax Number 9167030243

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No PSY 17240
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
007980A CA UCDHS PROVIDER #
665 OR PSYCHOLOGIST LICENSE #
GR002104M CA MEDI-CAL GROUP NUMBER
PSY 17240 CA PSYCHOLOGIST LICENSE

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FAQs about Ingrid Leckliter

What is the unique 10-digit identifier code issued to Ingrid Leckliter by the Centers for Medicare & Medicaid Services?

The Ingrid Leckliter has been assigned the NPI (National Provider Identifier) 1518940238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Ingrid Leckliter's facilities are geographically located?

The facilities of Ingrid Leckliter are physically situated at the following location: 2825 50Th St, Sacramento, CA, 958172308.

What is Ingrid Leckliter's area of expertise and its corresponding taxonomy classification?

The Ingrid Leckliter's field of specialization is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their areas of practice.

When did Ingrid Leckliter receive its 1518940238 assignment?

The Ingrid Leckliter was assigned its 1518940238 on 2005-11-28, which is the date when this unique identifier was issued to the organization.

When was the information regarding Ingrid Leckliter most recently updated?

The details pertaining to the Ingrid Leckliter, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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