Provider Demographics
NPI:1649870338
Name:TURNER, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 LONG POND RD
Mailing Address - Street 2:
Mailing Address - City:HEWIIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421
Mailing Address - Country:US
Mailing Address - Phone:862-200-0003
Mailing Address - Fax:
Practice Address - Street 1:190 LONG POND RD
Practice Address - Street 2:
Practice Address - City:HEWIIT
Practice Address - State:NJ
Practice Address - Zip Code:07421
Practice Address - Country:US
Practice Address - Phone:862-200-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSW-GTL-20-01790104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker