Provider Demographics
NPI:1760158828
Name:LEONARD, AMY PERKINS (LIC AC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:PERKINS
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 V ST
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-1545
Mailing Address - Country:US
Mailing Address - Phone:781-760-6299
Mailing Address - Fax:
Practice Address - Street 1:19 V ST
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-1545
Practice Address - Country:US
Practice Address - Phone:781-760-6299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist