Provider Demographics
NPI:1861506909
Name:FERRANTE, LEONARD JOSEPH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:JOSEPH
Last Name:FERRANTE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20921 RAINDANCE LANE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1166
Mailing Address - Country:US
Mailing Address - Phone:561-852-8082
Mailing Address - Fax:561-852-4838
Practice Address - Street 1:7900 GLADES RD
Practice Address - Street 2:SUITE 230
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4167
Practice Address - Country:US
Practice Address - Phone:561-479-4600
Practice Address - Fax:561-852-4838
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 3725103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73363Medicare ID - Type UnspecifiedPART B