Provider Demographics
NPI:1447864988
Name:OSGOOD, LEANNE TAYLOR (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:TAYLOR
Last Name:OSGOOD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:LEANNE
Other - Middle Name:TAYLOR
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:17 PRAIRIE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-2103
Mailing Address - Country:US
Mailing Address - Phone:570-447-5381
Mailing Address - Fax:
Practice Address - Street 1:72 E DEDHAM ST # 74
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2315
Practice Address - Country:US
Practice Address - Phone:617-797-6085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist