Provider Demographics
NPI:1659612232
Name:ANDREONI, LEAH E (LMFT)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:E
Last Name:ANDREONI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 CROSS ROAD
Mailing Address - Street 2:
Mailing Address - City:LEDERACH
Mailing Address - State:PA
Mailing Address - Zip Code:19450-0255
Mailing Address - Country:US
Mailing Address - Phone:267-280-3517
Mailing Address - Fax:215-672-1172
Practice Address - Street 1:701 CROSS ROAD
Practice Address - Street 2:
Practice Address - City:LEDERACH
Practice Address - State:PA
Practice Address - Zip Code:19450-0255
Practice Address - Country:US
Practice Address - Phone:267-280-3517
Practice Address - Fax:215-672-1172
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health