| Doctor Name: | DR. LEONARD LOUIS WYSOCKI |
| NPI Number: | 1043495310 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 49 Finley Hill Rd Marlborough, CT - 064471003 |
| Business Phone Number: | 8607984913 |
| Business Fax Number: | 8602951671 |
| Mailing Address: | 49 Finley Hill Rd, MARLBOROUGH |
| State: | CT |
| Postal Code: | 064471003 |
| Phone Number: | 8607984913 |
| Fax Number: | 8602951671 |
| NPI Enumeration Date: | 01/07/2008 |
| NPI Last Update Date: | 01/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |