Provider Demographics
NPI:1750715280
Name:HESSELSCHWERDT, LEEANN (RN)
Entity type:Individual
Prefix:MRS
First Name:LEEANN
Middle Name:
Last Name:HESSELSCHWERDT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 JUNIPER RD
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1724
Mailing Address - Country:US
Mailing Address - Phone:781-534-5416
Mailing Address - Fax:
Practice Address - Street 1:5 JUNIPER RD
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1724
Practice Address - Country:US
Practice Address - Phone:781-534-5416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2287874101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health