Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 1444 | KY |
N | 103TA0700X | Adult Development & Aging Psychologist | 6434 | OH |
Y | 103G00000X | Clinical Psychologist | 1444 | KY |
Y | 103TC0700X | Clinical Psychologist | 1444 | KY |
N | 103G00000X | Clinical Psychologist | 6434 | OH |
N | 103TC0700X | Clinical Psychologist | 6434 | OH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 1444 | KY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6434 | OH |
NPI | 1760420020 |
---|---|
Provider Name | Margaret L. Leonhard |
First Address | Covington, KY 41017-5947 |
Second Address | Florence, KY 41042-7533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 11/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100026230 | (05) | KY |
RR018 | RAILROAD MEDICARE (01) |