Provider Demographics
NPI:1508169046
Name:LEATHERMAN, HELEN E (MS)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:E
Last Name:LEATHERMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BRICKS WAY
Mailing Address - Street 2:
Mailing Address - City:SELLERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18960-2900
Mailing Address - Country:US
Mailing Address - Phone:267-718-4888
Mailing Address - Fax:
Practice Address - Street 1:7 BRICKS WAY
Practice Address - Street 2:
Practice Address - City:SELLERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18960-2900
Practice Address - Country:US
Practice Address - Phone:267-718-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012910101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health