Provider Demographics
NPI:1225917917
Name:LEBLANC, MARIA E
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 S DOBSON RD APT 2110
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7396
Mailing Address - Country:US
Mailing Address - Phone:504-701-4591
Mailing Address - Fax:
Practice Address - Street 1:301 E BETHANY HOME RD STE A100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1275
Practice Address - Country:US
Practice Address - Phone:602-274-1885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program