| Doctor Name: | DR. STEPHANIE LEITE |
| NPI Number: | 1497084107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 002501 |
| Business Practice Address: | 12 Merrywood Simsbury, CT - 060702613 |
| Business Phone Number: | 8607292613 |
| Business Fax Number: | 8606510558 |
| Mailing Address: | Po Box 272, GRANBY |
| State: | CT |
| Postal Code: | 060350272 |
| Phone Number: | 8607292613 |
| Fax Number: | 8606510558 |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 12/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | 002501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |