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NPI Code Detail

MEDICARE: DR. GEORGE LEONE PH.D.

MEDICARE: DR. GEORGE LEONE PH.D.
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
1101Y00000XCounselor0395NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962557595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE LEONE PH.D.
Provider Business Mailing Address
First Line : PO BOX 165
Second Line :
City : SERAFINA
State : NM
Zip : 87569-0165
Country : US
Telephone Number : 505-429-9217
Fax Number :
Provider Business Practice Location Address
First Line : 2301 COLLINS DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4826
Country : US
Telephone Number : 505-425-9362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/09/2007

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Directions to “ DR. GEORGE LEONE PH.D.” Practice Location

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