Leslie D Bissell (NPI# 1720030018, PAC ID# 0840257960) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1720030018 |
| PAC ID by PECOS | 0840257960 |
| Professional Enrollment ID | I20090226000679 |
| Full Name | Leslie D Bissell |
| Organization Legal Name | SOUTHWEST GUIDANCE CENTER |
| Address |
333 W 15th St Suite 2945 Liberal KS 67905-2945 |
| Phone Number | 3166248171 |
| Gender | F |
| Credential | CP |
| Graduation Year | 2003 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 7214834639 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 333 W 15th St, Suite 2945, Liberal, KS 67905-2945 | 3166248171 | SOUTHWEST GUIDANCE CENTER |
| Organization Legal Name | SOUTHWEST GUIDANCE CENTER |
| Physicians | 1 |
| Street Address |
333 W 15TH ST SUITE 2945 |
| City | LIBERAL |
| State | KS |
| Zip | 67905-2945 |
| City | LIBERAL |
| Zip Code | 67905 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | LIBERAL + CLINICAL PSYCHOLOGIST |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.