Provider Demographics
NPI:1982771333
Name:TAMURA, LEONARD J (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:J
Last Name:TAMURA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8341 SANGRE DE CRISTO RD
Mailing Address - Street 2:#104
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4267
Mailing Address - Country:US
Mailing Address - Phone:303-980-9712
Mailing Address - Fax:303-985-9925
Practice Address - Street 1:8341 SANGRE DE CRISTO RD
Practice Address - Street 2:#104
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4267
Practice Address - Country:US
Practice Address - Phone:303-980-9712
Practice Address - Fax:303-985-9925
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1685103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COR18905Medicare UPIN
COC60116Medicare PIN
CO07001142Medicare ID - Type Unspecified