Carol L Leonard Phd Llc | |
219 Roosevelt Trl Suite 1 Windham ME 04062-4396 | |
(207) 653-4517 | |
Not Available |
Full Name | Carol L Leonard Phd Llc |
---|---|
Speciality | Psychologist |
Location | 219 Roosevelt Trl, Windham, Maine |
Authorized Official Name and Position | Carol L Leonard (OWNER) |
Authorized Official Contact | 2076534517 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carol L Leonard Phd Llc 6 Dragonfly Dr Windham ME 04062-5572 Ph: (207) 653-4517 | Carol L Leonard Phd Llc 219 Roosevelt Trl Suite 1 Windham ME 04062-4396 Ph: (207) 653-4517 |
NPI Number | 1235689365 |
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Provider Enumeration Date | 10/13/2016 |
Last Update Date | 10/13/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235689365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS1425 (Maine) | Primary |
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