Individual
HOWARD S LEIZER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1079 SPRUCE ST, MARTINSVILLE, VA 24112-4506
(276) 638-6096
(276) 638-5287
Mailing address
PO BOX 5361, MARTINSVILLE, VA 24115-5361
(276) 638-6096
(276) 638-5287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001092
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028573
ANTHEM
VA
05
—
7750803
—
VA
Enumeration date
03/23/2006
Last updated
07/08/2007
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