Healthcare Provider Details

I. General information

NPI: 1588935142
Provider Name (Legal Business Name): DEBORAH ANN LEONE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 WEST ST
DANBURY CT
06810-6528
US

IV. Provider business mailing address

15 PAULDING TER
DANBURY CT
06810-5135
US

V. Phone/Fax

Practice location:
  • Phone: 203-748-5689
  • Fax:
Mailing address:
  • Phone: 203-616-5674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001992
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: