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General NPI Number Information
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NPI Number | 1578854972
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Entity Type | Organization
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Legal Business Name | LEACH & ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 1400 16TH ST STE 400
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City | DENVER
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State | CO
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Zip | 80202-5995
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Country | US
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Telephone | 303-473-0707
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 38189
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City | COLORADO SPRINGS
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State | CO
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Zip | 80937-8189
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Country | US
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Telephone | 303-473-0707
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ROBERT LEACH
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Credential | PSYD
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Telephone | 303-473-0707
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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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