Dr Leonard M Bohanon, PHD is a
Psychologist - Clinical based in Oak Ridge North, Texas. Dr Leonard M Bohanon is licensed to practice in Texas (license number 2-2536) and his current practice location is
101 Pine Manor Dr, Oak Ridge North, Texas. He can be reached at his office (for appointments etc.) via phone at
(832) 628-5253.
NPI number for Dr Leonard M Bohanon is 1124036702 and his current mailing address is 101 Pine Manor Dr, Oak Ridge North, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124036702.
Healthcare Provider's Profile
| Full Name | Dr Leonard M Bohanon |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 101 Pine Manor Dr, Oak Ridge North, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124036702
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 09/19/2025
Medical Identifiers
Medical identifiers for Dr Leonard M Bohanon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124036702 | NPI | - | NPPES |
| 138628 | Other | | VALUE OPTIONS |
| 48145516 | Other | | WAUSAU |
| 030445301 | Medicaid | TX | |
| 225505 | Other | | COMPSYCH |
| 0015DL | Other | TX | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2-2536 (Texas) | Primary |
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 Leonard M Bohanon 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 Leonard M Bohanon, PHD
101 Pine Manor Dr,
Oak Ridge North, TX 77385-9059
Ph: (832) 628-5253 | Dr Leonard M Bohanon, PHD
101 Pine Manor Dr,
Oak Ridge North, TX 77385-9059
Ph: (832) 628-5253 |
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