Provider Demographics
NPI:1053648477
Name:DILEONARDO, JOHN M (MED)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:DILEONARDO
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5701 CENTRE AVENUE
Mailing Address - Street 2:SUITE L-11
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3787
Mailing Address - Country:US
Mailing Address - Phone:412-362-1470
Mailing Address - Fax:412-362-1472
Practice Address - Street 1:5701 CENTRE AVE
Practice Address - Street 2:SUITE L-11
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3744
Practice Address - Country:US
Practice Address - Phone:412-362-1470
Practice Address - Fax:412-362-1472
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008127L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical