ELIZABETH LEUTHOLD


Address: 860 Lynn St, Lebanon, MO 65536-3810
Phone: 8884031071

ELIZABETH LEUTHOLD (NPI# 1487136156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487136156
Entity Type Individual
Full Name ELIZABETH LEUTHOLD
Credential PHD
Practice Address 860 Lynn St
Lebanon
MO 65536-3810
Mailing Address 1800 Community
Clinton
MO 64735-8804
Practice Telephone 8884031071
Mailing Telephone 6608858131
Enumeration Date 2018-08-30
Last Update Date 2019-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
2018030707 MO Behavioral Health & Social Service Providers

Office Location

Street Address 860 LYNN ST
City LEBANON
State MO
Zip Code 65536-3810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568448470 Catherine A Grigg Psychologist 860 Lynn St, Lebanon, MO 65536-3810 2005-12-22
1801496856 Lauren Dailey Smalling Social Worker 860 Lynn St, Lebanon, MO 65536-3810 2020-10-29
1023657152 Kristin M. Million Counselor 860 Lynn St, Lebanon, MO 65536-3810 2020-01-07
1497390959 Cynthia Denise Parker Counselor 860 Lynn St, Lebanon, MO 65536-3810 2019-11-08
1023652500 Melissa Lee Black Counselor 860 Lynn St, Lebanon, MO 65536-3810 2019-10-29
1235780099 Jeanna Suzanne Hood Registered Nurse 860 Lynn St, Lebanon, MO 65536-3810 2019-09-24
1245710045 Derrick Leighton Carroll Counselor 860 Lynn St, Lebanon, MO 65536-3810 2018-08-21
1720566805 Advocates for A Healthy Community, Inc. Pharmacy 860 Lynn St, Lebanon, MO 65536-3810 2018-08-01
1790272011 Mary Kathryn Goslin Counselor 860 Lynn St, Lebanon, MO 65536-3810 2018-04-23
1447747837 Katie Powell Social Worker 860 Lynn St, Lebanon, MO 65536-3810 2018-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427537307 Cathy Jane Greenlee Nurse Practitioner 510 Hwy 32, Lebanon, MO 65536 2018-08-10
1396232831 Steven Michael Majdecki Counselor 860 Lynn St., Lebanon, MO 65536 2018-04-19
1447629399 Danielle Craig Speech-Language Pathologist 1200 Clark Ave, Lebanon, MO 65536 2015-09-22
1982080255 Dawn Barker Family Medicine 331 Hospital Dr Ste C, Lebanon, MO 65536 2015-08-10
1194163840 Laura Patton Speech-Language Pathologist 22864 Perimeter Drive, Lebanon, MO 65536 2013-06-04
1750588273 Elaine Britzman Registered Nurse 874 S Jefferson St, Lebanon, MO 65536 2007-06-28
1538363486 Laclede Co. Assoc. for Retarded Citizens Respite Care 200 Lawson Ave., Lebanon, MO 65536 2007-06-13
1568665768 Fern M Klein Registered Nurse 874 S Jefferson, Lebanon, MO 65536 2007-06-06
1639201080 Laclede County Assoc. for Retarded Citizens Day Training, Developmentally Disabled Services 200 Lawson Avenue, Lebanon, MO 65536 2007-03-12
1316078868 Michael Montgomery Od PC Optometrist 279 E Elm, Lebanon, MO 65536 2007-03-08
Find all providers in zip 65536

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255821294 William D. Campagna Psychologist 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 2018-05-15
1881196376 Allied Health Professionals Psychologist 3056 Horn Springs Road, Lebanon, TX 37087-1953 2018-03-01
1972904894 Mujgan Inciler Psychologist 5787 State Route 63, C/o Wci, Lebanon, OH 45036 2014-09-10
1871992578 Samantha Robin Wertheimer Psychologist 1202 Ash Lane, Lebanon, PA 17042-9626 2014-08-19
1295062156 Danielle Tope Psychologist 48 Williams Crossing Rd, Lebanon, CT 06249-1339 2009-11-12
1104048727 Paul J Walker Sr. Psychologist 5787 St Route 63, Lebanon, OH 45036 2007-05-03
1235274275 John Tilghman Hower Psychologist 195 N Cornwall Rd E, Lebanon, PA 17042-9014 2007-02-20
1396808531 Dale K Horst Psychologist 15 S 9th St, Lebanon, PA 17042-5104 2006-12-19
1578645974 Georgette Ventura Psychologist 511 Noble St, Lebanon, PA 17042-6322 2006-10-19
1205847837 Diane P Hoover Psychologist 1700 South Lincoln Ave (690), Lebanon, PA 17042 2006-08-10
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 65536

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Dataset Information

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.

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