Bjork, Leslie

Bjork, Leslie is an individual health care provider with primary practice located at 25955 W 327Th St , Paola KS 66071-4920. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bjork, Leslie can be contacted via phone (913) 557-9096.

Contact Information

Primary practice address
25955 W 327Th St Paola KS 66071-4920
Phone: (913) 557-9096
Fax: (913) 294-9247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 1789 Kansas

Profile Details

NPI number 1508926130
LBN Legal business name Bjork, Leslie
Credentials PSY.D., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508926130 NPPES
Kansas MEDICAID 200440120A

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