Leavitt, Willis Todd
Leavitt, Willis Todd is an individual health care provider with primary practice located at 491 Eagles Nest Rd , Brockway PA 15824-3209. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Leavitt, Willis Todd can be contacted via phone (703) 678-3342.Contact Information
Primary practice address
491 Eagles Nest Rd
Brockway PA 15824-3209
Phone: (703) 678-3342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | MD051755L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD051755L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD051755L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101253763 | Virginia |
Profile Details
| NPI number | 1700876588 |
|---|---|
| LBN Legal business name | Leavitt, Willis Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 14th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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