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Contact Information

ANDREA M LEITHEISER, MA, PHD
674 HARMON LOOP RD STE 214
DEDEDO, GU96929-6535
 Phone: 671-487-7747
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANDREA M LEITHEISER · (Female)

NPI Number 1477964567
Status Active
Credentials MA, PHD
Entity Individual
Enumeration date 05/12/2014
Last updated 05/12/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 001257
  • GU License # CP000026
  • NM License # 0942
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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