MEDICARE: DEBORAH N LEONARD DT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Q00000X	Developmental Therapist		IN

General Provider Information

NPI Number	:	1215826045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH N LEONARD DT

Provider Business Mailing Address
First Line	:	4623 MARSHALL DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-5008
Country	:	US
Telephone Number	:	317-373-5076
Fax Number	:

Provider Business Practice Location Address
First Line	:	1540 W EDGEWOOD AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46217-9648
Country	:	US
Telephone Number	:	317-531-1888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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Directions to “ DEBORAH N LEONARD DT” Practice Location

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