| New Leaf Psychotherapy Services | |
|
504 Lakeside Park Southampton PA 18966-4078 | |
| (215) 354-0777 | |
| Not Available |
| Full Name | New Leaf Psychotherapy Services |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 504 Lakeside Park, Southampton, Pennsylvania |
| Authorized Official Name and Position | Kyle Francis Walsh (PRESIDENT) |
| Authorized Official Contact | 2156013223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Psychotherapy Services 504 Lakeside Park Southampton PA 18966-4078 Ph: (215) 354-0777 | New Leaf Psychotherapy Services 504 Lakeside Park Southampton PA 18966-4078 Ph: (215) 354-0777 |
| NPI Number | 1477813434 |
|---|---|
| Provider Enumeration Date | 05/24/2012 |
| Last Update Date | 05/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477813434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | PC000060 (Pennsylvania) | Primary |
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