Provider Demographics
NPI:1417843350
Name:LEIBOWITZ, TZIPORA
Entity type:Individual
Prefix:
First Name:TZIPORA
Middle Name:
Last Name:LEIBOWITZ
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8302 DORCAS ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-2258
Mailing Address - Country:US
Mailing Address - Phone:973-883-5565
Mailing Address - Fax:
Practice Address - Street 1:1059 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1824
Practice Address - Country:US
Practice Address - Phone:267-225-7180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst