| NPI | 1053298000 |
|---|---|
| Doing Business As | PATRICIA G LEAVY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA G LEAVY Owner 904-335-7037 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |