Provider Demographics
NPI:1497994222
Name:LEONE, JOANNE LUCILLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:LUCILLE
Last Name:LEONE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1330
Mailing Address - Country:US
Mailing Address - Phone:732-530-0523
Mailing Address - Fax:732-530-0523
Practice Address - Street 1:40 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1330
Practice Address - Country:US
Practice Address - Phone:732-530-0523
Practice Address - Fax:732-530-0523
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100417600103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist