Search › New Hampshire › 225100000X
Leah Mycofsky
NPI 1417554502 · on the registry since 2020
Practice
- Address
- 19 Nashua St Unit A
Milford, NH 03055 - Phone
- (855) 918-2946
- Organisation at this address
- Revolution Wellness Collective, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Hampshire