Provider Demographics
NPI:1710254974
Name:DOYLE, LEAH MARIE (BSW)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:MARIE
Other - Last Name:SHAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:724 PHILLIPS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-2242
Mailing Address - Country:US
Mailing Address - Phone:570-517-0892
Mailing Address - Fax:570-476-6466
Practice Address - Street 1:724 PHILLIPS ST
Practice Address - Street 2:SUITE A
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-2242
Practice Address - Country:US
Practice Address - Phone:570-517-0892
Practice Address - Fax:570-476-6466
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)