Provider Demographics
NPI:1720249311
Name:LEONARD, J SANDRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:J
Middle Name:SANDRA
Last Name:LEONARD
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 1/2 N BELL ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531-1906
Mailing Address - Country:US
Mailing Address - Phone:603-512-0366
Mailing Address - Fax:
Practice Address - Street 1:112 1/2 N BELL ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531-1906
Practice Address - Country:US
Practice Address - Phone:660-351-2036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38471103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical