Individual
DR. LESLIE H DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
212 W MAIN ST, SUITE 200, SALISBURY, MD 21801-5006
(410) 742-7160
(410) 630-7389
Mailing address
PO BOX 1627, SALISBURY, MD 21802-1627
(410) 548-9148
(410) 548-1048
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03248
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743301800
—
MD
Enumeration date
01/05/2007
Last updated
02/11/2017
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