Provider Demographics
NPI:1477280774
Name:LEAH SCIABA PC
Entity Type:Organization
Organization Name:LEAH SCIABA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIABA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-789-7132
Mailing Address - Street 1:81 MORGAN FARM RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-2600
Mailing Address - Country:US
Mailing Address - Phone:781-789-7132
Mailing Address - Fax:
Practice Address - Street 1:275 GROVE ST STE 2400
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2273
Practice Address - Country:US
Practice Address - Phone:617-505-4419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty