Dr Bruce A Leeson, PHD is a
Psychologist - Clinical based in Ft. Carson, Colorado. Dr Bruce A Leeson is licensed to practice in Missouri (license number PY RO 269) and his current practice location is
Evans Army Community Hospital, Embedded Behavioral Health Team 5, Bldg 1226, Ft. Carson, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 503-7701.
NPI number for Dr Bruce A Leeson is 1811910920 and his current mailing address is 611 E Willamette Ave, Colorado Springs, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811910920.
Healthcare Provider's Profile
| Full Name | Dr Bruce A Leeson |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | Evans Army Community Hospital, Ft. Carson, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811910920
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 04/03/2013
Medical Identifiers
Medical identifiers for Dr Bruce A Leeson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811910920 | NPI | - | NPPES |
| 50331 | Other | | NATIONAL REGISTER OF HEALTHCARE PROVIDERS IN PSYCHOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PY RO 269 (Missouri) | Primary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bruce A Leeson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Bruce A Leeson, PHD
611 E Willamette Ave,
Colorado Springs, CO 80903-3030
Ph: (816) 304-4061 | Dr Bruce A Leeson, PHD
Evans Army Community Hospital, Embedded Behavioral Health Team 5, Bldg 1226,
Ft. Carson, CO 80913
Ph: (719) 503-7701 |
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