Individual
PETER M. LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1149 BLOOMFIELD AVE, CLIFTON, NJ 07012-2314
(973) 365-2300
Mailing address
1149 BLOOMFIELD AVE, CLIFTON, NJ 07012-2314
(973) 365-2300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00227800
NJ
Other
Enumeration date
01/04/2007
Last updated
02/04/2013
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