Provider Demographics
NPI:1740473099
Name:BEHL, LEAH EUGENA (PHD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:EUGENA
Last Name:BEHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 HADDON AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-1717
Mailing Address - Country:US
Mailing Address - Phone:856-685-0173
Mailing Address - Fax:856-566-2797
Practice Address - Street 1:118 HADDON AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1717
Practice Address - Country:US
Practice Address - Phone:856-685-0173
Practice Address - Fax:856-566-6108
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00442100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist