Individual
DANIEL J LEICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(610) 324-0318
Mailing address
101 E OLNEY AVE, SUITE 400, PHILADELPHIA, PA 19120-2421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015516
PA
Other
Enumeration date
12/03/2012
Last updated
12/04/2012
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