| Doctor Name: | MARY M LEONARD |
| NPI Number: | 1134362908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 01090 |
| Business Practice Address: | 1509 Ritchie Hwy Ste F Arnold, MD - 210122742 |
| Business Phone Number: | 4107572077 |
| Business Fax Number: | 4107575184 |
| Mailing Address: | 1509 Ritchie Hwy Ste F, ARNOLD |
| State: | MD |
| Postal Code: | 210122742 |
| Phone Number: | 4107572077 |
| Fax Number: | 4107575184 |
| NPI Enumeration Date: | 04/09/2009 |
| NPI Last Update Date: | 04/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 01090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |