Provider Demographics
NPI:1942356118
Name:LEONARD ISRAEL INC.
Entity Type:Organization
Organization Name:LEONARD ISRAEL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-798-1142
Mailing Address - Street 1:309 KNOTTY WOOD LN
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-7808
Mailing Address - Country:US
Mailing Address - Phone:561-798-1142
Mailing Address - Fax:561-795-2401
Practice Address - Street 1:309 KNOTTY WOOD LN
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-7808
Practice Address - Country:US
Practice Address - Phone:561-798-1142
Practice Address - Fax:561-795-2401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2046235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty