Provider Demographics
NPI:1831376771
Name:WINGEART, LEAH (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:WINGEART
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2654 WEST HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE B5 #2274
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052
Mailing Address - Country:US
Mailing Address - Phone:702-342-1252
Mailing Address - Fax:725-605-1770
Practice Address - Street 1:2654 WEST HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE B5 #2274
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052
Practice Address - Country:US
Practice Address - Phone:702-342-1252
Practice Address - Fax:725-605-1770
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0746103TC0700X
COPSY.0004341103TC0700X
HIPSY-1312103TC0700X
AZPSY-005295103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical