Individual
DR. JENNIFER ANN LEAVITT-LADUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
800 POLY PL # 116B, VA NY HARBOR HEALTHCARE SYSTEM, BROOKLYN CAMPUS, BROOKLYN, NY 11209-7104
(718) 836-6600
(718) 630-2894
Mailing address
1958 68TH ST, BROOKLYN, NY 11204-4570
(718) 256-9113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017036-1
NY
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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