Provider Demographics
NPI:1508992066
Name:ZEFF, LEONARD JOEL
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:JOEL
Last Name:ZEFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11947 SAINT ALBANS HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-3983
Mailing Address - Country:US
Mailing Address - Phone:952-544-2005
Mailing Address - Fax:
Practice Address - Street 1:1800 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1901
Practice Address - Country:US
Practice Address - Phone:612-879-3529
Practice Address - Fax:612-879-3390
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN019091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical