Provider Demographics
NPI:1942336540
Name:LEIBY, CATHY JO (RN, CS)
Entity Type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:JO
Last Name:LEIBY
Suffix:
Gender:F
Credentials:RN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:BECHTELSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19505-9246
Mailing Address - Country:US
Mailing Address - Phone:610-369-0680
Mailing Address - Fax:610-369-3657
Practice Address - Street 1:4230 CRUMS MILL RD
Practice Address - Street 2:SUITE 201
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-2898
Practice Address - Country:US
Practice Address - Phone:800-828-7711
Practice Address - Fax:717-657-9088
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN200256L246W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Cardiology