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Contact Information

MICHAEL B LEACH, PhD
3659 GREEN RD STE 320
BEACHWOOD, OH44122-5715
 Phone: 216-390-9695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MICHAEL B LEACH · (Male)

NPI # 1568546422
Status Active
Credentials PhD
Entity Individual
Enumeration date 10/25/2006
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 2671
  • OH Medicaid 0355057
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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