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NPI Code Detail

MEDICARE: LEELA EHRHART MA

MEDICARE: LEELA EHRHART MA
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1528609625
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEELA EHRHART MA
Provider Business Mailing Address
First Line : 1048 HARMONY HILL RD
Second Line :
City : DOWNINGTOWN
State : PA
Zip : 19335-4008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 524 N PROVIDENCE RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-3056
Country : US
Telephone Number : 215-858-2684
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 10/01/2019

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Directions to “ LEELA EHRHART MA” Practice Location

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