Organization
DR CAROL LEINONEN PSYD LP PA
Active
Organization
DR CAROL LEINONEN PSYD LP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L LEINONEN PSYD LP (PRESIDENT)
(952) 496-3963
Entity
Organization
Contact information
Practice address
287 MARSCHALL ROAD, SUITE 202, SHAKOPEE, MN 55379
(952) 498-3963
Mailing address
287 MARSCHALL ROAD, SUITE 202, SHAKOPEE, MN 55379
(952) 498-3963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3572
MN
Other
Enumeration date
10/04/2006
Last updated
09/19/2007
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