Provider Demographics
NPI:1568131530
Name:WILLIAM H. LESCHEY, PHD, P.A.
Entity Type:Organization
Organization Name:WILLIAM H. LESCHEY, PHD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:LESCHEY
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-650-9424
Mailing Address - Street 1:107 DELANO PARK
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-1934
Mailing Address - Country:US
Mailing Address - Phone:207-650-9424
Mailing Address - Fax:
Practice Address - Street 1:107 DELANO PARK
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-1934
Practice Address - Country:US
Practice Address - Phone:207-650-9424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty