National Provider Identifier

Shawn Leonard

Shawn Leonard is listed in the NPPES registry with a primary specialty of Counselor in Kenmore, NY and a listed phone number of (716) 829-7495.

NPI 1568868115Kenmore, NYCounselor

Profile Overview

NPI
1568868115
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
November 10, 2014
Last Updated
June 01, 2022

Practice Location

  • 262 Woodward Ave
  • Kenmore, NY 14217-1539

Phone: (716) 829-7495

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1568868115
Entity Type
Individual
Last Name
Leonard
First Name
Shawn
Mailing Street Address
262 Woodward Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1539
Mailing Country
US
Mailing Phone
(716) 829-7495
Mailing Fax
(716) 873-0564
Practice Street Address
262 Woodward Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1539
Practice Country
US
Practice Phone
(716) 829-7495
Practice Fax
(716) 873-0564
Enumeration Date
November 10, 2014
Last Updated
June 01, 2022
Sex
Male
Sole Proprietor
No
Certification Date
June 01, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)