Provider Demographics
NPI:1912537853
Name:CHANCLER, LEIGH A (MA, NCC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:A
Last Name:CHANCLER
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1966 MALLARD CT
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-2155
Mailing Address - Country:US
Mailing Address - Phone:610-416-4762
Mailing Address - Fax:
Practice Address - Street 1:977 E SCHUYLKILL RD
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7000
Practice Address - Country:US
Practice Address - Phone:610-416-4762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-20
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health