Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 574 | MA |
N | 103TS0200X | School Psychologist | 835 | MA |
NPI | 1043456726 |
---|---|
Provider Name | Dr. Ann Marie Theresa Leonard-Zabel |
First Address | Plymouth, MA 02360-3831 |
Second Address | Plymouth, MA 02360-3831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2008 |
Last Update Date | 30/12/2008 |