Provider Demographics
NPI:1306902291
Name:LEONARDI, DANA (PHD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 HORSEPOUND RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4702
Mailing Address - Country:US
Mailing Address - Phone:914-924-0238
Mailing Address - Fax:914-245-1395
Practice Address - Street 1:498 HORSEPOUND RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-4702
Practice Address - Country:US
Practice Address - Phone:914-924-0238
Practice Address - Fax:914-245-1395
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015332103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical