Individual
DR. WILLIS TODD LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
491 EAGLES NEST RD, BROCKWAY, PA 15824-3209
(703) 678-3342
Mailing address
491 EAGLES NEST RD, BROCKWAY, PA 15824-3209
(703) 678-3342
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD051755L
PA
2084P0800X
Psychiatry Physician
Primary
0101253763
VA
2084P0800X
Psychiatry Physician
MD051755L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD051755L
PA
Other
Enumeration date
10/24/2005
Last updated
07/14/2020
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