Provider Demographics
NPI:1033955455
Name:DONALD, LEAH Z (T-LMFT)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:Z
Last Name:DONALD
Suffix:
Gender:F
Credentials:T-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 E COLLEGE ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5114
Mailing Address - Country:US
Mailing Address - Phone:319-540-5982
Mailing Address - Fax:
Practice Address - Street 1:506 E COLLEGE ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-5114
Practice Address - Country:US
Practice Address - Phone:319-540-5982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA113859106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist