| Liane J Leedom, MD | |
|
140 Old Dike Rd, Trumbull, CT 06611-3334 | |
| (203) 615-1633 | |
| Not Available |
| Full Name | Liane J Leedom |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 39 Years |
| Location | 140 Old Dike Rd, Trumbull, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063702595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31647 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Connecticut Behavioral Health Llc | 1951692706 | 8 |
| Entity Name | Central Connecticut Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043666480 PECOS PAC ID: 1951692706 Enrollment ID: O20160624001721 |
| Mailing Address | Practice Location Address |
|---|---|
| Liane J Leedom, MD 140 Old Dike Rd, Trumbull, CT 06611-3334 Ph: (203) 615-1633 | Liane J Leedom, MD 140 Old Dike Rd, Trumbull, CT 06611-3334 Ph: (203) 615-1633 |
Anne Wolf, P.T. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 115 Technology Dr, Trumbull, CT 06611 Phone: 203-856-5460 |
Dr. Ira Jeffrey Deitz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-377-0111 |
Dr. Joann Margaret Smith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 160 Hawley Ln, Trumbull, CT 06611 Phone: 203-377-0111 |