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MRS. EDITH MARIA LEERDAM
NPI 1396012357
Counselor in Broken Arrow, OK

Active since November 18, 2011
1217 W KNOXVILLE ST, BROKEN ARROW, OK 74012(918) 258-1857(918) 258-6987 Get Directions Write a Review

NPPES record last updated: November 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Edith Maria Leerdam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EDITH MARIA LEERDAM (NPI 1396012357) is an individual counselor in Broken Arrow, Oklahoma and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1396012357
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. EDITH MARIA LEERDAM
Location Address1217 W KNOXVILLE STBroken Arrow, OK 74012-8434
Mailing Address1217 W Knoxville StBroken Arrow, OK 74012-8434 · (918) 258-1857
Phone(918) 258-1857
Fax(918) 258-6987
Sole ProprietorYes
Enumeration DateNovember 18, 2011
✔ NPI 1396012357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1217 W KNOXVILLE ST, Broken Arrow, OK 74012
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edith Leerdam's NPI number?

The NPI number for Edith Leerdam is 1396012357. It was assigned to this individual provider in the NPPES registry on November 18, 2011.

Where is Edith Leerdam located?

Edith Leerdam practices at 1217 W Knoxville St, Broken Arrow, OK 74012. The listed phone number is (918) 258-1857.

What is Edith Leerdam's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Edith Leerdam was last updated on November 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.