Leapss and Beyond

NPI #1104105816 in Mukilteo, Washington

Provider Information

NPI Number: 1104105816
Entity Type: Organization
Organization Name: Leapss and Beyond
Primary Specialty: Psychologist
Enumeration Date: Aug 11, 2011
Last Updated: Aug 11, 2011

Practice Location

Address: 413 LINCOLN AVE STE A
City: Mukilteo
State: Washington
ZIP Code: 98275-1524
Phone: (559) 314-4696

Authorized Official

Name: DR. EDWYN W ORTIZ-NANCE, PSYD
Title: CLINICALAND NEUROPSYCHOLOGIST
Phone: (559) 824-8934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X
Psychologist	103T00000X	Primary

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