DR. BRUCE EDWARD LEININGER (NPI# 1982702882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982702882 |
Entity Type | Individual |
Full Name | DR. BRUCE EDWARD LEININGER |
Credential | PH.D. |
Practice Address |
111 West Second Street Suite 310 Casper WY 82601 |
Practice Telephone | 3074737925 |
Practice Fax Number | 3074737925 |
Mailing Telephone | 3074737925 |
Mailing Fax Number | 3074737925 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-10-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 258 | WY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 110079302 | 05 |
Street Address |
111 WEST SECOND STREET SUITE 310 |
City | CASPER |
State | WY |
Zip Code | 82601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
Find all providers in zip 82601 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578889929 | Dixie Jean Woolston | Clinical Neuropsychologist | 1020 E 2nd St, Suite 100, Casper, WY 82601-2946 | 2010-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639541774 | Eric Edward Silk | Clinical Neuropsychologist | 1701 Stampede Ave, Cody, WY 82414-4818 | 2015-10-28 |
1740361880 | Wendy Elaine Laakmann | Clinical Neuropsychologist | 460 South Cache Street, Jackson, WY 83001 | 2006-10-17 |
1275787087 | Geoffrey Sherman | Clinical Neuropsychologist | 1050 Mydland Rd, Sheridan, WY 82801-2186 | 2008-11-06 |
1578727855 | Daniel Seiki Cossaboon | Clinical Neuropsychologist | 1001 14th St, Cody, WY 82414-3745 | 2008-07-15 |
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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.