Leeson, Bruce A.

Leeson, Bruce A. is an individual health care provider with primary practice located at Evans Army Community Hospital Embedded Behavioral Health Team 5, Bldg 1226, Ft. Carson CO 80913. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Leeson, Bruce A. can be contacted via phone (719) 503-7701.

Contact Information

Primary practice address
Evans Army Community Hospital Embedded Behavioral Health Team 5, Bldg 1226 Ft. Carson CO 80913
Phone: (719) 503-7701
Fax: (719) 526-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY RO 269 Missouri
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1811910920
LBN Legal business name Leeson, Bruce A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 3rd, 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 1811910920 NPPES
Other 50331 NATIONAL REGISTER OF HEALTHCARE PROVIDERS IN PSYCHOLOGY

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