Mr Jeremy M Leidich, LSW | |
900 S Woodward St, Allentown, PA 18103-4179 | |
(610) 435-1541 | |
Not Available |
Full Name | Mr Jeremy M Leidich |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 900 S Woodward St, Allentown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568195717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | SW139364 (Pennsylvania) | Primary |
Entity Name | Catholic Charities Of The Diocese Of Allentown Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487866463 PECOS PAC ID: 7517036734 Enrollment ID: O20080514000404 |
Mailing Address | Practice Location Address |
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Mr Jeremy M Leidich, LSW 1325 Easton Rd, Hellertown, PA 18055-1419 Ph: (484) 264-6044 | Mr Jeremy M Leidich, LSW 900 S Woodward St, Allentown, PA 18103-4179 Ph: (610) 435-1541 |
Kadey Soren, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N 7th St, Allentown, PA 18102 Phone: 484-221-9136 Fax: 484-221-9130 | |
Ann Friedenheim, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 S Cedar Crest Blvd, Suite 101, Allentown, PA 18103 Phone: 610-462-2549 | |
Sophia Sealy, Counselor Medicare: Medicare Enrolled Practice Location: 527 Hamilton St Ste 201, Allentown, PA 18101 Phone: 484-284-0342 Fax: 484-212-9884 | |
Nikole Marie Krosecz, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Green St, Allentown, PA 18109 Phone: 610-799-8910 | |
Anna Junge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 N Cedar Crest Blvd Ste 75, Allentown, PA 18104 Phone: 484-619-2505 | |
Richard Bogert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17th & Chew Streets, 3rd Floor, Allentown, PA 18104 Phone: 610-402-1155 | |
Ms. Sara Alyica Albrecht, L.P.C, M.A, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 N Cedar Crest Blvd Ste 520, Allentown, PA 18104 Phone: 610-437-4577 Fax: 610-437-6877 |