| Leanne Starr, Psy.d., P.c. | |
|
120 Huntington Pl Colorado Springs CO 80906-4316 | |
| (719) 428-5211 | |
| Not Available |
| Full Name | Leanne Starr, Psy.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 120 Huntington Pl, Colorado Springs, Colorado |
| Authorized Official Name and Position | Leanne Starr (PRESIDENT) |
| Authorized Official Contact | 7193106161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leanne Starr, Psy.d., P.c. 120 Huntington Pl Colorado Springs CO 80906-4316 Ph: () - | Leanne Starr, Psy.d., P.c. 120 Huntington Pl Colorado Springs CO 80906-4316 Ph: (719) 428-5211 |
| NPI Number | 1629356043 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 07/31/2014 |
| Medicare PECOS PAC ID | 3173795853 |
|---|---|
| Medicare Enrollment ID | O20111003000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629356043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3446 (Colorado) | Primary |
| Provider Name | Leanne R Starr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275820912 PECOS PAC ID: 4688846355 Enrollment ID: I20111003000282 |
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