Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH1232824 | OH |
NPI | 1063885309 |
---|---|
Provider Name | Leslie Ann Leonard |
First Address | Newcomerstown, OH 43832-1450 |
Second Address | Newcomerstown, OH 43832-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2015 |
Last Update Date | 09/11/2015 |