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General NPI Number Information
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NPI Number | 1184596827
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Entity Type | Organization
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Legal Business Name | CASSIE LEUTZINGER, PSY.D., LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 939 OFFICE PARK RD STE 215
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2505
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Country | US
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Telephone | 515-579-5047
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Fax | 515-495-7516
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Provider Business Mailing Address
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Address Line | 939 OFFICE PARK RD STE 215
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2505
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Country | US
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Telephone | 515-579-5047
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Fax | 515-495-7516
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | CASSIE JO LEUTZINGER
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Credential | PSY.D.
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Telephone | 515-579-5047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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