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Contact Information

SAMANTHA D LEBO
3640 COLONEL GLENN HWY
DAYTON, OH45435-0002
 Phone: 937-775-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAMANTHA D LEBO · (Female)

NPI # 1407490295
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2019
Last updated 12/22/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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