Provider Demographics
NPI:1780334391
Name:LEPPERT, RHIANNON ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:RHIANNON
Middle Name:ELIZABETH
Last Name:LEPPERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22415 E BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:OTIS ORCHARDS
Mailing Address - State:WA
Mailing Address - Zip Code:99027-9360
Mailing Address - Country:US
Mailing Address - Phone:509-703-2663
Mailing Address - Fax:
Practice Address - Street 1:515 W FRANCIS AVE STE 5
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6413
Practice Address - Country:US
Practice Address - Phone:509-563-7297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health