Individual
DR. LEON J MONNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1350 BELMONT STREET, SUITE 103, BROCKTON, MA 02301-4430
(508) 580-2137
(508) 559-6143
Mailing address
1350 BELMONT STREET, SUITE 103, BROCKTON, MA 02301-4430
(508) 580-2137
(508) 559-6143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517496
—
MA
01
—
406936
TAHP
MA
01
—
W03823
BCBS
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
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