Provider Demographics
NPI:1346590718
Name:ISSERLIN, LEANNA (MD, FRCPC)
Entity Type:Individual
Prefix:DR
First Name:LEANNA
Middle Name:
Last Name:ISSERLIN
Suffix:
Gender:F
Credentials:MD, FRCPC
Other - Prefix:DR
Other - First Name:LEANNA
Other - Middle Name:
Other - Last Name:RUTHERFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:308 ROSSBURN WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8364
Mailing Address - Country:US
Mailing Address - Phone:919-869-7052
Mailing Address - Fax:
Practice Address - Street 1:308 ROSSBURN WAY
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8364
Practice Address - Country:US
Practice Address - Phone:919-869-7052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ813902084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry