Provider Demographics
NPI:1134447006
Name:LEONARD, LYNN JOHNSTONE (LPC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:JOHNSTONE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 DRUM POINT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-6376
Mailing Address - Country:US
Mailing Address - Phone:908-783-4633
Mailing Address - Fax:
Practice Address - Street 1:270 DRUM POINT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6376
Practice Address - Country:US
Practice Address - Phone:908-783-4633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2010-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00120200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional