Healthcare Provider Details

I. General information

NPI: 1497090484
Provider Name (Legal Business Name): DANIEL J LEICHTER PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 EASTON RD STE 2900
WARRINGTON PA
18976-2908
US

IV. Provider business mailing address

847 EASTON RD STE 2900
WARRINGTON PA
18976-2908
US

V. Phone/Fax

Practice location:
  • Phone: 267-864-0020
  • Fax: 267-864-0021
Mailing address:
  • Phone: 267-864-0020
  • Fax: 267-864-0021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS015516
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: