| Doctor Name: | MR. LEONARD MICHAEL LITTLE |
| NPI Number: | 1063495992 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 00953 |
| Business Practice Address: | 5401 College Blvd Suite 205 Leawood, KS - 662111617 |
| Business Phone Number: | 9133396838 |
| Business Fax Number: | 9137644160 |
| Mailing Address: | 5401 College Blvd, Suite 205 LEAWOOD |
| State: | KS |
| Postal Code: | 662111617 |
| Phone Number: | 9133396838 |
| Fax Number: | 9137644160 |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 00953 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |