Provider Demographics
NPI:1356499677
Name:LEONARDI, DAYNA W (MS CC SLP)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:W
Last Name:LEONARDI
Suffix:
Gender:F
Credentials:MS CC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OVERLOOK CTR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7814
Mailing Address - Country:US
Mailing Address - Phone:609-375-2049
Mailing Address - Fax:
Practice Address - Street 1:100 OVERLOOK CTR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-7814
Practice Address - Country:US
Practice Address - Phone:609-375-2049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00470100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41YS00470100OtherLICENSE