Provider Demographics
NPI:1912003724
Name:LEAMY, ANGELA M (MPA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:M
Last Name:LEAMY
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 HARTT RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-3209
Mailing Address - Country:US
Mailing Address - Phone:814-453-4309
Mailing Address - Fax:814-453-1191
Practice Address - Street 1:1020 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16503-1517
Practice Address - Country:US
Practice Address - Phone:814-453-4309
Practice Address - Fax:814-453-1191
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker