Provider Demographics
NPI:1891889044
Name:FLEISCHER, LEONARD ELLIOT (EDD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:ELLIOT
Last Name:FLEISCHER
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:57 WILDWOOD ROAD
Mailing Address - City:SPOFFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03462-0256
Mailing Address - Country:US
Mailing Address - Phone:603-358-2846
Mailing Address - Fax:
Practice Address - Street 1:441 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-4181
Practice Address - Country:US
Practice Address - Phone:603-358-2846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH558103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical