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NPI Code Detail

MEDICARE: LEIGHTON HUEY MD

MEDICARE: LEIGHTON HUEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician037291CT
22084P0800XPsychiatry PhysicianMD464193PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275539215
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGHTON HUEY MD
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 525 PINE ST
Second Line :
City : SCRANTON
State : PA
Zip : 18509-3240
Country : US
Telephone Number : 570-558-4290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 07/08/2024

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Directions to “ LEIGHTON HUEY MD” Practice Location

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