Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 002605 | CT |
N | 103G00000X | Clinical Psychologist | 002605 | CT |
N | 103TC0700X | Clinical Psychologist | 002605 | CT |
N | 103TP2701X | Group Psychotherapist | 002605 | CT |
NPI | 1023251931 |
---|---|
Provider Name | Dr. Linda Leiphart |
First Address | Shelton, CT 06484-4622 |
Second Address | Shelton, CT 06484-4622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 08/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060002605CT03 | ANTHEM BLUE CROSS BLUE SHIELD (01) | CT |
2223663 | CIGNA (01) | PA |
350879 | HEALTHNET (01) | KY |
556641 | VALUE OPTIONS BEHAVIORAL (01) | NY |
61-40942 | CONNECTICARE (01) | CT |
7090679 | AETNA (01) | KY |
7090679 | AETNA (01) | TX |
760842957 | UNITED HEALTHCARE (01) | GA |
P3894525 | OXFORD HEALTH PLAN (01) | CT |