WESLEY MAX LEDOM (NPI# 1346374824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346374824 |
| Entity Type | Individual |
| Full Name | WESLEY MAX LEDOM |
| Credential | PH.D. |
| Practice Address |
7524 Eaton St Prairie Village KS 66208-3610 |
| Practice Telephone | 9136345199 |
| Mailing Telephone | 9136345199 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
000290 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 493240121 | 05 |
| Street Address |
7524 EATON ST |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66208-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
| 1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
| 1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
| 1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
| 1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
| 1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
| 1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
| 1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
| 1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
| 1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
| Find all providers in zip 66208 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356505804 | David Oliver Hill | Psychologist | 7637 Canterbury St, Prairie Village, KS 66208-3942 | 2008-07-14 |
| 1295829844 | Mary J. Yanics, Ph.d., LLC | Psychologist | 8340 Mission Road, Suite 228, Prairie Village, KS 66206-1355 | 2006-10-03 |
| 1831148568 | Steven L Briggs | Psychologist | 5350 W 94th Ter, Suite 204, Prairie Village, KS 66207-2504 | 2006-05-09 |
| 1003890757 | Franklin Carleton Boraks | Psychologist | 7221 Mission Rd, Ste 208, Prairie Village, KS 66208 | 2005-12-05 |
| 1780959957 | Mary J. Yanics, Ph.d., LLC | Psychologist | 8340 Mission Rd, Suite 228, Prairie Village, KS 66206-1355 | 2012-03-20 |
| 1568630226 | Claire L Barron Phd. Inc. | Psychologist | 8010 State Line Rd, Suite 230, Prairie Village, KS 66208-3710 | 2008-02-15 |
| 1477736783 | Aha Psychological Services, P.a. | Psychologist | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2007-12-10 |
| 1376760124 | Caroline Elder Danda | Psychologist | 8340 Mission Rd, Suite 100, Prairie Village, KS 66206-1355 | 2007-04-20 |
| 1841331683 | Twila L Preston | Psychologist | 8014 State Line Rd, 100, Prairie Village, KS 66208-3723 | 2007-02-12 |
| 1568524072 | Avery H Bratt | Psychologist | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2006-12-14 |
| Find all providers in PRAIRIE VILLAGE | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66208 |
Please comment or provide details below to improve the information on WESLEY MAX LEDOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.