NPI 1134632284

Jacklyn Leitzel, PHD

Practitioner Psychologist Bloomsburg, PA

Practice location

Address: 1003 Cherry Hill Rd, Bloomsburg, PA 17815-8821
Phone: (570) 430-3933

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence PS015340 (PA)

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Registry record

NPI: 1134632284
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2017
Record last updated: 12 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.