Provider Demographics
NPI:1760652333
Name:LEONARDO, HEATHER J (MS)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:J
Last Name:LEONARDO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:537 MASSACHUSETTS AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2954
Mailing Address - Country:US
Mailing Address - Phone:978-577-5198
Mailing Address - Fax:978-393-0193
Practice Address - Street 1:537 MASSACHUSETTS AVE STE 203
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-2954
Practice Address - Country:US
Practice Address - Phone:978-577-5198
Practice Address - Fax:978-393-0193
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional