Provider Demographics
NPI:1225133770
Name:LEEDS, STUART MICHAEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:MICHAEL
Last Name:LEEDS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:50 CHERRY HILL RD STE 305
Mailing Address - Street 2:MORRIS PSYCHOLOGICAL GROUP, PA
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1101
Mailing Address - Country:US
Mailing Address - Phone:973-257-9000
Mailing Address - Fax:973-257-0506
Practice Address - Street 1:50 CHERRY HILL RD STE 305
Practice Address - Street 2:MORRIS PSYCHOLOGICAL GROUP, PA
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1101
Practice Address - Country:US
Practice Address - Phone:973-257-9000
Practice Address - Fax:973-257-0506
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3863103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist