Provider Demographics
NPI:1740969237
Name:ANDREWS, LEIGH ALEXANDER (PHD (CONFERRED 8/17))
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ALEXANDER
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PHD (CONFERRED 8/17)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 E 85TH ST # PHB
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4541
Mailing Address - Country:US
Mailing Address - Phone:215-360-2673
Mailing Address - Fax:
Practice Address - Street 1:1100 WALNUT ST STE 603
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5563
Practice Address - Country:US
Practice Address - Phone:215-360-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist