Most Relevant Information
Provider Data
| NPI Number: | 1003290131 |
| Provider Name: | ROSALIE A. LEININGER CEIS |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/18/2015 |
| Last Updated: | 07/18/2015 |
Provider Practice Location
12 TYLER STREET
SOMERVILLE
MA
02143
Practice Location Phone/Fax
| Phone: | 6176293919 |
| Fax: |
Provider Mailing Location
55 OLIVER ST
SOMERVILLE
MA
021454127
Provider Mailing Phone/Fax
| Phone: | 6174854919 |
| Fax: |