Provider Demographics
NPI:1851848964
Name:DEFFLEY, LETISHA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:LETISHA
Middle Name:
Last Name:DEFFLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 MADISON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-2806
Mailing Address - Country:US
Mailing Address - Phone:717-900-7510
Mailing Address - Fax:
Practice Address - Street 1:2845 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2909
Practice Address - Country:US
Practice Address - Phone:717-840-6444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health