Individual
DR. ANDREA MARIE LEITHEISER
Active
Individual
DR. ANDREA MARIE LEITHEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PHD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
001257
AL
103TC0700X
Clinical Psychologist
0942
NM
103TC0700X
Clinical Psychologist
Primary
CP000026
GU
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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