| Pat Leahey, Pa | |
|
2290 W County Line Rd Suite 209 Jackson NJ 08527-2267 | |
| (732) 886-7075 | |
| (732) 886-7076 |
| Full Name | Pat Leahey, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 2290 W County Line Rd, Jackson, New Jersey |
| Authorized Official Name and Position | Patricia Ann Leahey (OWNER) |
| Authorized Official Contact | 7328867075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pat Leahey, Pa 32 Knightsbridge Pl Jackson NJ 08527-1273 Ph: (732) 886-7075 | Pat Leahey, Pa 2290 W County Line Rd Suite 209 Jackson NJ 08527-2267 Ph: (732) 886-7075 |
| NPI Number | 1194059345 |
|---|---|
| Provider Enumeration Date | 09/21/2009 |
| Last Update Date | 09/21/2009 |
| Medicare PECOS PAC ID | 3173746922 |
|---|---|
| Medicare Enrollment ID | O20140522002055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194059345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01300100 (New Jersey) | Primary |
| Provider Name | Patricia A Leahey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386738011 PECOS PAC ID: 9133166366 Enrollment ID: I20050411000065 |
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