Provider Demographics
NPI:1366926537
Name:FLAHERTY, LEAH RUSSELL (PSYD)
Entity type:Individual
Prefix:DR
First Name:LEAH
Middle Name:RUSSELL
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5124 LIBERTY AVE FL 1AT
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2290
Mailing Address - Country:US
Mailing Address - Phone:412-315-3800
Mailing Address - Fax:
Practice Address - Street 1:5124 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2290
Practice Address - Country:US
Practice Address - Phone:412-315-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018958103TC0700X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist