Provider Demographics
NPI:1245504992
Name:CRANE, LEAH CATHERINE (PSYD)
Entity type:Individual
Prefix:MS
First Name:LEAH
Middle Name:CATHERINE
Last Name:CRANE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:CATHERINE
Other - Last Name:LANGSAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:30 OLD KINGS HWY S
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4551
Mailing Address - Country:US
Mailing Address - Phone:203-536-3238
Mailing Address - Fax:
Practice Address - Street 1:26 IMPERIAL AVE # 6
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4308
Practice Address - Country:US
Practice Address - Phone:203-536-3238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3764103T00000X
NY020288103TC0700X
NY020884103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical