| Doctor Name: | DR. LEON MILES NEUBAUER |
| NPI Number: | 1073610770 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 015409 |
| Business Practice Address: | 408 S White Horse Pike Audubon, NJ - 081061311 |
| Business Phone Number: | 8566077325 |
| Business Fax Number: | 8566161172 |
| Mailing Address: | 1729 Lark Ln, CHERRY HILL |
| State: | NJ |
| Postal Code: | 080033214 |
| Phone Number: | 8566077325 |
| Fax Number: | 8566161172 |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 015409 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |