| Leit Psychotherapy Llc | |
|
318 Main St Ste 200a Millburn NJ 07041-1181 | |
| (201) 207-0376 | |
| Not Available |
| Full Name | Leit Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 318 Main St Ste 200a, Millburn, New Jersey |
| Authorized Official Name and Position | Jaclyn P Leit (OWNER) |
| Authorized Official Contact | 2012070376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leit Psychotherapy Llc 318 Main St Ste 200a Millburn NJ 07041-1181 Ph: (201) 207-0376 | Leit Psychotherapy Llc 318 Main St Ste 200a Millburn NJ 07041-1181 Ph: (201) 207-0376 |
| NPI Number | 1609383348 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 01/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609383348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05140900 (New Jersey) | Primary |
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