| Dr Tami V Leonhardt, PHD | |
|
3227 Sunset Blvd Ste D103, West Columbia, SC 29169-3201 | |
| (803) 791-1485 | |
| (803) 939-9378 |
| Full Name | Dr Tami V Leonhardt |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 3227 Sunset Blvd Ste D103, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255325783 | NPI | - | NPPES |
| PSO144 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 560 (South Carolina) | Primary |
| Entity Name | Tami V Leonhardt Phd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184883787 PECOS PAC ID: 0547332140 Enrollment ID: O20080626000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tami V Leonhardt, PHD 3227 Sunset Blvd Ste D103, West Columbia, SC 29169-3201 Ph: (803) 791-1485 | Dr Tami V Leonhardt, PHD 3227 Sunset Blvd Ste D103, West Columbia, SC 29169-3201 Ph: (803) 791-1485 |
Dr. Shawna Blake Kirby, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1505 Charleston Hwy, # 1523, West Columbia, SC 29169 Phone: 803-497-3640 Fax: 888-352-7678 | |
Dr. Kari L. Wagner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1615 Augusta Rd, West Columbia, SC 29169 Phone: 803-791-1511 Fax: 803-791-1572 | |
Dr. Leah A. Herod, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1615 Augusta Rd, West Columbia, SC 29169 Phone: 803-791-1511 | |
Mr. Bruce Allen Dunlap, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1109 Lake Shire Dr, West Columbia, SC 29170 Phone: 803-606-3570 | |
Dr. Frank L. Quinn, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 160 Medical Circle, First Floor, West Columbia, SC 29169 Phone: 803-796-6811 Fax: 803-796-6851 | |
Jennifer Block, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3937 Sunset Blvd Ste B, West Columbia, SC 29169 Phone: 803-900-4890 |