Healthcare Provider Details

I. General information

NPI: 1326182817
Provider Name (Legal Business Name): LEAH MARIE ALEXANDER PSYA.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEAH MARIE BALZER PSYA.D.

II. Dates (important events)

Enumeration Date: 02/16/2007
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 MAIN ST
TOPSFIELD MA
01983-1840
US

IV. Provider business mailing address

58 MAIN ST
TOPSFIELD MA
01983-1840
US

V. Phone/Fax

Practice location:
  • Phone: 617-848-0540
  • Fax:
Mailing address:
  • Phone: 617-848-0540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: