Provider Demographics
NPI:1851178289
Name:LEIGHTON, EVA HALE (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:HALE
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MARLETTE PL
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-3205
Mailing Address - Country:US
Mailing Address - Phone:917-886-0254
Mailing Address - Fax:
Practice Address - Street 1:17 MARLETTE PL
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3205
Practice Address - Country:US
Practice Address - Phone:917-886-0254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68-P119743-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical