Individual
DR. LEIGH SHANNON HALEY-MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
728 RADIO RD, ELIZABETHTOWN, PA 17022-8993
(601) 606-9227
Mailing address
728 RADIO RD, ELIZABETHTOWN, PA 17022-8993
(601) 606-9227
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
120344101
PA
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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