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Contact Information

ELIZABETH LEUTHOLD, PHD
860 LYNN ST
LEBANON, MO65536-3810
 Phone: 888-403-1071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELIZABETH LEUTHOLD · (Female)

NPI # 1487136156
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/30/2018
Last updated 04/02/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2018030707
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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