Individual
DR. JEFFREY D LEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
326 ADAMS AVE, SCRANTON, PA 18503-1604
(570) 348-6100
(570) 383-6847
Mailing address
514 MILES AVE, OLYPHANT, PA 18447-1351
(570) 650-6286
(570) 383-6847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015403
PA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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