Provider Demographics
NPI:1720396104
Name:LEAMER, DAVID T (MALPC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:T
Last Name:LEAMER
Suffix:
Gender:M
Credentials:MALPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 HOPEWELL RD
Mailing Address - Street 2:
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-8605
Mailing Address - Country:US
Mailing Address - Phone:610-406-8158
Mailing Address - Fax:
Practice Address - Street 1:1640 HOPEWELL RD
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-8605
Practice Address - Country:US
Practice Address - Phone:610-406-8158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-19
Last Update Date:2010-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional