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Contact Information

LEAPSS AND BEYOND
413 LINCOLN AVE STE A
MUKILTEO, WA98275-1524
 Phone: 559-314-4696
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEAPSS AND BEYOND

NPI Number 1104105816
LBN Legal business name LEAPSS AND BEYOND
Authorized official EDWYN ORTIZ-NANCE - (CLINICALAND NEUROPSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2011
Last updated 08/11/2011 - About 15 years ago
Identifiers
WA License # PS60221926
WA License # PY60221926
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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