Provider Demographics
NPI:1033597133
Name:LEYERZAPF, JUDY C (LMHCA)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:C
Last Name:LEYERZAPF
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:C
Other - Last Name:LEYERZAPF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHCA
Mailing Address - Street 1:11802 E MANSFIELD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4788
Mailing Address - Country:US
Mailing Address - Phone:509-473-9157
Mailing Address - Fax:509-343-1622
Practice Address - Street 1:11802 E MANSFIELD AVE STE 1
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4788
Practice Address - Country:US
Practice Address - Phone:509-473-9157
Practice Address - Fax:509-343-1622
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60405953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health