Doctor Name: | MS. CAROLYN A LEAVITT |
NPI Number: | 1215936851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 279 |
Business Practice Address: | 2310 E 8th St Cheyenne, WY - 820015256 |
Business Phone Number: | 3076326435 |
Business Fax Number: | 3076357982 |
Mailing Address: | 2310 E 8th St, CHEYENNE |
State: | WY |
Postal Code: | 820015256 |
Phone Number: | 3076326435 |
Fax Number: | 3076357982 |
NPI Enumeration Date: | 07/15/2005 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |