Provider Demographics
NPI:1245454842
Name:JOHNSON-SENA, LEONIE JACQUELINE (MD,)
Entity type:Individual
Prefix:
First Name:LEONIE
Middle Name:JACQUELINE
Last Name:JOHNSON-SENA
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4510
Mailing Address - Country:US
Mailing Address - Phone:201-332-0016
Mailing Address - Fax:877-246-9995
Practice Address - Street 1:2 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4510
Practice Address - Country:US
Practice Address - Phone:201-332-0016
Practice Address - Fax:877-246-9995
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2015-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA689452084P0800X
NY1919772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry