Provider Demographics
NPI:1174847024
Name:LEBER, MEREDITH MICHELE (MA)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:MICHELE
Last Name:LEBER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 HARTRANFT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-1624
Mailing Address - Country:US
Mailing Address - Phone:215-654-9112
Mailing Address - Fax:
Practice Address - Street 1:1032 HARTRANFT AVE
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-1624
Practice Address - Country:US
Practice Address - Phone:215-654-9112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor