Individual
MERRILEE LEONHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
68 BRIDGE ST, SUITE 206, SUFFIELD, CT 06078-3107
(860) 254-5360
Mailing address
68 BRIDGE ST, SUITE 206, SUFFIELD, CT 06078-3107
(860) 254-5360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
029363
CT
2084P0800X
Psychiatry Physician
10637A
WY
2084P0800X
Psychiatry Physician
114299
AK
2084P0800X
Psychiatry Physician
16665
NV
2084P0800X
Psychiatry Physician
52310
AZ
2084P0800X
Psychiatry Physician
Primary
71113
MA
2084P0800X
Psychiatry Physician
DR.0056794
CO
2084P0800X
Psychiatry Physician
G143445
CA
2084P0800X
Psychiatry Physician
M-13280
ID
2084P0800X
Psychiatry Physician
MD-18700
HI
2084P0800X
Psychiatry Physician
MD176677
OR
2084P0800X
Psychiatry Physician
MD2016-0274
NM
2084P0800X
Psychiatry Physician
MD60646239
WA
2084P0800X
Psychiatry Physician
MED-PHYS-LIC-50223
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064671
—
MA
01
—
5000560
TUFTS HEALTH PLAN
—
01
—
998296
NETWORK HEALTH
MA
Enumeration date
07/12/2006
Last updated
10/28/2019
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