Provider Demographics
NPI:1467920231
Name:SCRIVANO, LEIGH-ANN (MA,LPC)
Entity Type:Individual
Prefix:
First Name:LEIGH-ANN
Middle Name:
Last Name:SCRIVANO
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 COPPER BEECH DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-1836
Mailing Address - Country:US
Mailing Address - Phone:860-335-8100
Mailing Address - Fax:
Practice Address - Street 1:2080 SILAS DEANE HWY FL 2
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2334
Practice Address - Country:US
Practice Address - Phone:860-335-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty