Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MARY LEO
Active Sole ProprietorKATHLEEN MARY LEO is a Psychiatric/Mental Health, Geropsychiatric CNS healthcare provider located in MATAWAN, New Jersey. NPI 1790977601 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Geropsychiatric CNS · MATAWAN, NJ
Registration Details
- NPI Number
- 1790977601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2007 (19.041561392399 yrs)
- Last Updated
- Aug 14, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
514 MORRISTOWN RDMATAWAN, NJ, 077473580Browse NJ providers · Browse ZIP 07747
- Phone
- 7325832135
- Primary Specialty
-
Psychiatric/Mental Health, Geropsychiatric CNS
364SP0809X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.