Individual
DR. JACKLYN LEITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1003 CHERRY HILL RD, BLOOMSBURG, PA 17815-8821
(570) 430-3933
Mailing address
1003 CHERRY HILL RD, BLOOMSBURG, PA 17815-8821
(570) 430-3933
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015340
PA
Other
Enumeration date
11/12/2017
Last updated
11/12/2017
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