Individual
JENNIFER MARISSA LEIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 FRED ST APT 3H, SUMMERVILLE, SC 29483-6635
(843) 826-3870
Mailing address
110 FRED ST APT 3H, SUMMERVILLE, SC 29483-6635
(843) 826-3870
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
02/26/2022
Last updated
02/26/2022
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