Provider Demographics
NPI:1700186913
Name:LEYMASTER, RON D (EDD, NBCC, CCMHC)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:D
Last Name:LEYMASTER
Suffix:
Gender:M
Credentials:EDD, NBCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410C SE 3RD ST
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2800
Mailing Address - Country:US
Mailing Address - Phone:816-347-0620
Mailing Address - Fax:877-576-1920
Practice Address - Street 1:410C SE 3RD ST
Practice Address - Street 2:SUITE # 104
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2800
Practice Address - Country:US
Practice Address - Phone:816-347-0620
Practice Address - Fax:877-576-1920
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist