Provider Demographics
NPI:1942420591
Name:DONK, LEONARD J (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:J
Last Name:DONK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20111 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2399
Mailing Address - Country:US
Mailing Address - Phone:408-366-9910
Mailing Address - Fax:408-366-9915
Practice Address - Street 1:20111 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2399
Practice Address - Country:US
Practice Address - Phone:408-366-9910
Practice Address - Fax:408-366-9915
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9064103T00000X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0200X, 103TH0004X, 103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis