Provider Demographics
NPI:1285677609
Name:LEAH, BARBARA (PSY D, PA)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:LEAH
Suffix:
Gender:F
Credentials:PSY D, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8016
Mailing Address - Country:US
Mailing Address - Phone:305-923-6282
Mailing Address - Fax:
Practice Address - Street 1:502 13TH AVE S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8016
Practice Address - Country:US
Practice Address - Phone:305-923-6282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSY0003080103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist