Provider Demographics
NPI:1255626156
Name:CRANE, LEILANI SALVO (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEILANI
Middle Name:SALVO
Last Name:CRANE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N PRINCETON AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1436
Mailing Address - Country:US
Mailing Address - Phone:610-716-0211
Mailing Address - Fax:
Practice Address - Street 1:156 5TH AVE STE 1134
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7745
Practice Address - Country:US
Practice Address - Phone:484-471-7130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016778103TC0700X
NYNY022550103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical