Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Edith Maria Leerdam

Individual provider Counselor · NPI 1396012357

Mrs. Edith Maria Leerdam is a Counselor in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2011

Practice location Address checks out

1217 W Knoxville St
Broken Arrow, OK 74012-8434
Phone: (918) 258-1857
Fax: (918) 258-6987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OK)

Record details

NPI number1396012357
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2011
Last updated in NPPESNovember 18, 2011

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