Individual
DR. NICOLE LEISGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4217 SMITH RD, CINCINNATI, OH 45212-4107
(513) 871-7285
(513) 871-7281
Mailing address
4217 SMITH RD, CINCINNATI, OH 45212-4107
(513) 871-7285
(513) 871-7281
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042365A
IN
103T00000X
Psychologist
Primary
6165
OH
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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