Leonardo, Mary Grace
Leonardo, Mary Grace is an sole proprietor health care provider with primary practice located at 250 Hillcrest Rd , Ithaca NY 14850-9747. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Leonardo, Mary Grace can be contacted via phone (607) 279-9034.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 069733 | New York |
Behavioral Health & Social Service Providers / School | 1041S0200X | 539776041 | New York |
Profile Details
NPI number | 1104026327 |
---|---|
LBN Legal business name | Leonardo, Mary Grace |
Credentials | LCSW-R |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 25th, 2007 |
Last updated | Jan 23rd, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104026327 | NPPES |
New York | Other | 553866 | VALUE OPTIONS |
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