Leathe Dantzler, MS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361003896 Issued in MI

Practice address

1025 E Forest Ave
Detroit, MI 48207-1098

Phone

(313) 833-4291

Fax

(313) 833-5730

NPI assigned

Aug 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1740891498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E FOREST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071098",
            "telephone_number": "313-833-4291",
            "fax_number": "313-833-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E FOREST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071098",
            "telephone_number": "313-833-4291",
            "fax_number": "313-833-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "LEATHE",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009899",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361003896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Danley, M.D.
• Christel A Danna, LMSW
• Sharon Marie Dannard, OTR
• Omar Danoun, MD
• Timanika A Dansby, FNP-BC
• Sudeshna Danu, RPT, DPT
• Kristen Danyal, PA-C
• Danielle Daoud, OTD, OTRL
• Lina Daoud, M.D
• Veronica Miriam Daoud, MD

• Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.