Healthcare Provider Details

I. General information

NPI: 1235005349
Provider Name (Legal Business Name): HANNAH LEIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CETRONIA RD STE 225S
ALLENTOWN PA
18104-9701
US

IV. Provider business mailing address

240 CETRONIA RD STE 225
ALLENTOWN PA
18104-9263
US

V. Phone/Fax

Practice location:
  • Phone: 484-658-7736
  • Fax: 833-616-6610
Mailing address:
  • Phone: 484-658-7736
  • Fax: 833-616-6610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC001093
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: