Provider Demographics
NPI:1639453681
Name:LEAHY, MARGARITA (MA,NCC,LAC)
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:
Last Name:LEAHY
Suffix:
Gender:F
Credentials:MA,NCC,LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 ALEXANDER RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6331
Mailing Address - Country:US
Mailing Address - Phone:609-987-8100
Mailing Address - Fax:609-987-0574
Practice Address - Street 1:707 ALEXANDER RD STE 102
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6331
Practice Address - Country:US
Practice Address - Phone:609-987-8100
Practice Address - Fax:609-987-0574
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00083500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health