Kimberly N Leatherdale, ATR, LPC is a
Counselor - Mental Health based in Pluckemin, New Jersey. Kimberly N Leatherdale is licensed to practice in New Jersey (license number 37PC00043700) and her current practice location is
254 Routes 202 206, Second Floor, Pluckemin, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 256-4779.
NPI number for Kimberly N Leatherdale is 1497829436 and her current mailing address is Po Box 87, Pluckemin, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497829436.
Healthcare Provider's Profile
Full Name | Kimberly N Leatherdale |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 254 Routes 202 206, Pluckemin, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497829436
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kimberly N Leatherdale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497829436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 37PC00043700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly N Leatherdale is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly N Leatherdale, ATR, LPC Po Box 87, Pluckemin, NJ 07978-0087 Ph: (908) 256-4779 | Kimberly N Leatherdale, ATR, LPC 254 Routes 202 206, Second Floor, Pluckemin, NJ 07978 Ph: (908) 256-4779 |
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