Leckliter, Ingrid

Leckliter, Ingrid is an individual health care provider with primary practice located at 2825 50Th St Ucdhs- M.I.N.D. Instutute, Sacramento CA 95817-2308. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Leckliter, Ingrid can be contacted via phone (916) 703-0255.

Contact Information

Primary practice address
2825 50Th St Ucdhs- M.I.N.D. Instutute Sacramento CA 95817-2308
Phone: (916) 703-0255
Fax: (916) 703-0243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY 17240 California

Profile Details

NPI number 1518940238
LBN Legal business name Leckliter, Ingrid
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jul 9th, 2007 - about 17 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 1518940238 NPPES
California Other 007980A UCDHS PROVIDER #
California Other 0665 UCDHS PROVIDER #
California Other GR002104M UCDHS PROVIDER #
California Other PSY 17240 UCDHS PROVIDER #

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