Provider Demographics
NPI:1801951835
Name:ALTAMURA, LEONARD S (DSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:S
Last Name:ALTAMURA
Suffix:
Gender:M
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 SANDHURST DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-6208
Mailing Address - Country:US
Mailing Address - Phone:856-207-3586
Mailing Address - Fax:856-482-1440
Practice Address - Street 1:499 COOPER LANDING RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2504
Practice Address - Country:US
Practice Address - Phone:856-482-8747
Practice Address - Fax:856-482-1440
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001358001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical