Leonard, Susan Elizabeth

Leonard, Susan Elizabeth is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leonard, Susan Elizabeth can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8000
Fax: (919) 350-2995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY2859 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY2859 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY2859 North Carolina

Profile Details

NPI number 1093871188
LBN Legal business name Leonard, Susan Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Mar 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093871188 NPPES
North Carolina Other D9059 MEDCOST
North Carolina MEDICAID 6000628 MEDCOST
North Carolina MEDICAID 1093871188 MEDCOST
North Carolina Other 786099000 MEDCOST
North Carolina Other 0508313 MEDCOST
North Carolina Other 046G0 MEDCOST

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