Tabitha Janae Leonard

Individual provider Active NPI School Psychologist · Noble, OK

NPI 1497400154 · NPPES record last updated Feb 21, 2022

Key facts

NPI
1497400154
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
111 S 4TH St
Noble, OK 73068-9379
Phone
(405) 872-3452
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Public Schools Past
since Feb 27, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

111 S 4TH St
Noble, OK 73068-9379

Mailing address

111 S 4TH St
Noble, OK 73068-9379
Phone (405) 872-3452

Other providers in Noble, OK

All providers in Noble, OK · School Psychologist in Oklahoma

Sources for this page

Verify at the official NPI Registry.