Doctor Name: | LEONARD A CARLINO |
NPI Number: | 1205979713 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PS001034 |
Business Practice Address: | 3100 Cloverly Dr Furlong, PA - 189251229 |
Business Phone Number: | 2153487332 |
Business Fax Number: | 2153487332 |
Mailing Address: | 3100 Cloverly Dr, FURLONG |
State: | PA |
Postal Code: | 189251229 |
Phone Number: | 2153487332 |
Fax Number: | 2153487332 |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS001034 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |