Provider Demographics
NPI:1134426034
Name:MURPHY, LEONARD JOSEPH (LADC)
Entity type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:JOSEPH
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 PORTSMOUTH AVE
Mailing Address - Street 2:BOX 1
Mailing Address - City:GREENLAND
Mailing Address - State:NH
Mailing Address - Zip Code:03840-2252
Mailing Address - Country:US
Mailing Address - Phone:603-502-7364
Mailing Address - Fax:603-319-8102
Practice Address - Street 1:370 PORTSMOUTH AVE
Practice Address - Street 2:BOX 1
Practice Address - City:GREENLAND
Practice Address - State:NH
Practice Address - Zip Code:03840-2252
Practice Address - Country:US
Practice Address - Phone:603-502-7364
Practice Address - Fax:603-319-8102
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-12
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH635101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)