Provider Demographics
NPI:1841756319
Name:LEDDINGTON, ARIEL MICHAELA (MA)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:MICHAELA
Last Name:LEDDINGTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9235
Mailing Address - Country:US
Mailing Address - Phone:704-415-2511
Mailing Address - Fax:
Practice Address - Street 1:151 RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9235
Practice Address - Country:US
Practice Address - Phone:570-415-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-20
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist