DR. LEANNE MARIE BUTTROSS PH.D. NPI 1821288267

NPI Information

NPI: 1821288267
Provider Name: DR. LEANNE MARIE BUTTROSS, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4646 CORONA DR STE 258
CORPUS CHRISTI, TX
ZIP 78411
Phone: (405) 226-6610
Get Directions

DR. Leanne Marie Buttross, PH.D. is a clinical neuropsychologist in Corpus Christi, TX with 22 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Leanne Marie Buttross, PH.D. NPI is 1821288267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4646 CORONA DR STE 258
CORPUS CHRISTI, TX
ZIP 78411-320
Phone: (405) 226-6610
Fax: (361) 400-5558

The NPI 1821288267 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 11/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		985	OKLAHOMA	No
2	103TC0700X	Psychologist	Clinical	37816	TEXAS	No
3	103TC0700X	Psychologist	Clinical	985	OKLAHOMA	No
4	103G00000X	Clinical Neuropsychologist		37816	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200266570	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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