Provider Demographics
NPI:1770397325
Name:POPPLE, LEAH MARIE (PSYD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:MARIE
Last Name:POPPLE
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 1:51 SANDSPRING RD
Mailing Address - Street 2:
Mailing Address - City:BEAR CREEK TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18702-8431
Mailing Address - Country:US
Mailing Address - Phone:570-899-8176
Mailing Address - Fax:
Practice Address - Street 1:51 SANDSPRING RD
Practice Address - Street 2:
Practice Address - City:BEAR CREEK TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18702-8431
Practice Address - Country:US
Practice Address - Phone:570-899-8176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018972103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist