Dr. Leah Marion Desole, Ph.D.
Psychologist in New York, NY. Individual provider (NPI-1).
NPI number1104859636
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104859636
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leah Marion Desole
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 015880 | NY | Yes |
Practice location
528 W 111th StSuite 27
New York, NY 10025-1977
Phone 917-757-5422
Mailing address
528 W 111th StSuite 27
New York, NY 10025-1977
Phone 917-757-5422
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