Individual
MR. JOSEPH I. LEIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1079 SPRUCE ST, MARTINSVILLE, VA 24112-4506
(276) 632-3572
(276) 638-5287
Mailing address
PO BOX 5361, MARTINSVILLE, VA 24115-5361
(276) 632-3572
(276) 638-5287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025581
ANTHEM
VA
05
—
7728875
—
VA
Enumeration date
03/27/2006
Last updated
05/18/2010
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