Organization
MICHAEL B. LEACH, PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRUCE LEACH PHD (OWNER)
(440) 333-4949
Entity
Organization
Contact information
Practice address
9792 FIRELANDS DR, TWINSBURG, OH 44087-3228
(440) 333-4949
(440) 333-5044
Mailing address
9792 FIRELANDS DR, TWINSBURG, OH 44087-3228
(440) 333-4949
(440) 333-5044
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355057
—
OH
Enumeration date
03/05/2009
Last updated
03/05/2009
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