Individual
DR. DAVID JOSEPH LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1148 4TH ST, MUSKEGON, MI 49441
(231) 726-2299
(231) 728-6345
Mailing address
1148 4TH ST, MUSKEGON, MI 49441
(231) 726-2299
(231) 728-6345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF14510
BCBS
—
01
—
P69385
BCN
—
Enumeration date
11/27/2006
Last updated
06/24/2013
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