Provider Demographics
NPI:1538382205
Name:WARE, LEANNE LEWIS (PHD)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:LEWIS
Last Name:WARE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15721 W 138TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-4547
Mailing Address - Country:US
Mailing Address - Phone:913-908-3306
Mailing Address - Fax:
Practice Address - Street 1:8575 W 110TH ST
Practice Address - Street 2:SUITE 218
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1868
Practice Address - Country:US
Practice Address - Phone:913-345-0033
Practice Address - Fax:913-345-0177
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS844103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4957142001Medicaid
KS4957142001Medicaid