Organization
CAROL L LEONARD PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L LEONARD PHD (OWNER)
(207) 653-4517
Entity
Organization
Contact information
Practice address
219 ROOSEVELT TRL, SUITE 1, WINDHAM, ME 04062-4396
(207) 653-4517
Mailing address
6 DRAGONFLY DR, WINDHAM, ME 04062-5572
(207) 653-4517
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1425
ME
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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