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MRS. MARANDA MARIE LEONARD M.S., LPE-P
>> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1487961751
Individual Registrant:MRS. MARANDA MARIE LEONARD M.S., LPE-P
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1112 MAIN ST VILONIA, AR 72173 US
Tel: 501-772-9278 Fax: --
Tel: 501-772-9278 Fax: --
Contact information for business:
1600 ALDERSGATE RD STE 200 LITTLE ROCK, AR 72205-6676 US
Tel: 501-661-0720 Fax: --
Tel: 501-661-0720 Fax: --
Registration Information:
NPI: 1487961751
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103T00000X | Behavioral Health & Social Service Providers Psychologist | ||
| N | 171M00000X | Other Service Providers Case Manager/Care Coordinator | ||
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | AR | 12-12E |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
