Pamela J Leonhardt PSYD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1992 Issued in CO

Legal business name

PAMELA J LEONHARDT PSYD PLLC

Practice address

4076 Driver CT
Longmont, CO 80503-8314

Phone

(303) 746-1160

NPI assigned

Jul 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pamela J Leonhardt, PSYD

Title

President

Phone

(303) 746-1160

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1174754972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 DRIVER CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038314",
            "telephone_number": "303-746-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 DRIVER CT",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805038314",
            "telephone_number": "303-746-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA J LEONHARDT PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "LEONHARDT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-746-1160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.