Provider Demographics
NPI:1568759942
Name:SCHILD, LEAH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:SCHILD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 UNION ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4303
Mailing Address - Country:US
Mailing Address - Phone:201-906-5431
Mailing Address - Fax:
Practice Address - Street 1:253 W 73RD ST
Practice Address - Street 2:APT 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2740
Practice Address - Country:US
Practice Address - Phone:347-635-5562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017172-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist