| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDREW DE LEONARDIS | 1164104808 | 2023-08-13 |
Andrew De Leonardis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164104808. Registration indicates Andrew De Leonardis is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Andrew De Leonardis PH.D. |
| Practice Office Address | 420 N JAMES RD COLUMBUS, OH US |
| Practice Office Telephone | 6142575200 |
| Mailing Address | PO BOX 122 BLACKLICK, OH 430040122 US |
| Business Telephone | 6142575200 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |