| Organization Name: | JUDYTH A. LEAVITT PSYCHOTHERAPIST P.L.L.C. |
| NPI Number: | 1083008312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDYTH A LEAVITT (CEO) |
| Mailing Address: | 100 Emerald St Ste C Keene |
| State: | NH US |
| Postal Code: | 034313610 |
| Phone Number: | 6039032122 |
| Fax Number: | |
| NPI Enumeration Date: | 03/25/2015 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1514 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |