MEDICARE: DR. LEAH WINGEART PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY0746	NV
2	103TC0700X	Clinical Psychologist	PSY.0004341	CO
3	103TC0700X	Clinical Psychologist	PSY-1312	HI
4	103TC0700X	Clinical Psychologist	PSY-005295	AZ

General Provider Information

NPI Number	:	1831376771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH WINGEART PSY.D.

Provider Business Mailing Address
First Line	:	2654 WEST HORIZON RIDGE PKWY
Second Line	:	SUITE B5 #2274
City	:	HENDERSON
State	:	NV
Zip	:	89052
Country	:	US
Telephone Number	:	702-342-1252
Fax Number	:	725-605-1770

Provider Business Practice Location Address
First Line	:	2654 WEST HORIZON RIDGE PKWY
Second Line	:	SUITE B5 #2274
City	:	HENDERSON
State	:	NV
Zip	:	89052
Country	:	US
Telephone Number	:	702-342-1252
Fax Number	:	725-605-1770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	02/12/2025

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