Provider Demographics
NPI:1467564765
Name:STUNKEL-DOYLE, LEAANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:LEAANNE
Middle Name:
Last Name:STUNKEL-DOYLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 PLYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-1728
Mailing Address - Country:US
Mailing Address - Phone:339-788-0231
Mailing Address - Fax:
Practice Address - Street 1:453B E CENTER ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1815
Practice Address - Country:US
Practice Address - Phone:339-788-0231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA332101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional