Provider Demographics
NPI:1508015686
Name:CHAUNDY, LESLIE M (PSYD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:M
Last Name:CHAUNDY
Suffix:
Gender:F
Credentials:PSYD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 QUARRY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1158
Mailing Address - Country:US
Mailing Address - Phone:610-563-2052
Mailing Address - Fax:610-563-2052
Practice Address - Street 1:2208 QUARRY DR STE 200
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19609-1158
Practice Address - Country:US
Practice Address - Phone:610-563-2052
Practice Address - Fax:610-563-2052
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-15
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0160691041C0700X
PAPS018003103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical