Individual provider · NPI-1
Carolyn Leahy
Veterinarian · Shelton, CT
NPI number1164824660
StatusActive
Last updated in NPPESSep 16, 2014
Details
- NPI
- 1164824660
- Entity type
- Individual (NPI-1)
- Name
- Carolyn Leahy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2014
- Last updated
- Sep 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174M00000X | Veterinarian | 3996 | CT | Yes |
Practice location
895 Bridgeport AveShelton, CT 06484-4621
Phone 203-929-8600
Mailing address
895 Bridgeport AveShelton, CT 06484-4621
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