Provider Demographics
NPI:1093921413
Name:LEER, JEFFREY B (MAR)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:B
Last Name:LEER
Suffix:
Gender:M
Credentials:MAR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LILO LN
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-2407
Mailing Address - Country:US
Mailing Address - Phone:717-307-6694
Mailing Address - Fax:
Practice Address - Street 1:3400 CONCORD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9007
Practice Address - Country:US
Practice Address - Phone:717-840-7239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0080651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health