Individual
MRS. BROOKE RITA LEONELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19914 MSR TAMPA, FORT DRUM, NY 13602
(315) 772-6184
Mailing address
19914 MSR TAMPA, FORT DRUM, NY 13602
(315) 772-6184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008400
VA
171000000X
Military Health Care Provider
Primary
0810008400
VA
Other
Enumeration date
08/06/2022
Last updated
04/28/2026
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