Individual
CAROL ANN LOVE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
31275 NORTHWESTERN HWY STE 203, FARMINGTON HILLS, MI 48334-2579
(248) 830-6357
(313) 930-8635
Mailing address
260 HICKORY LN, WATERFORD, MI 48327-2570
(248) 830-6357
(313) 930-8635
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008640
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11712865
CAQH
DC
Enumeration date
07/28/2006
Last updated
05/06/2026
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